COVID-19 Pandemisi Sürecinde Yoğun Bakım Ünitesinde Perkütan Trakeostomi Yönetimi

Öz

Öz Amaç: Coronavirus hastalığı 2019 (COVID-19), uzun süreli mekanik ventilasyon gerektiren kritik hastalarda dramatik bir artışa yol açmıştır. Bu hastaların çoğu, uzun süreli entübasyon süreleri, solunum yetmezliği ve uzatılmış ventilatör desteği gereksinimi nedeniyle trakeostomiye ihtiyaç duymaktadır. Gereç ve Yöntem: Uzun süreli mekanik ventilasyona ihtiyaç duyan kritik COVID-19 hastalarının yer aldığı retrospektif bir analiz gerçekleştirildi. Birincil amacımız COVID-19 hastalarında trakeostomi yapma deneyimimizi sunmaktır. Ultrason rehberliğinde perkütan trakeostomi, tüm hastalarda yatak başında gerçekleştirildi. Bulgular: Tüm perkütan trakeostomiler komplikasyon olmaksızın başarıyla gerçekleştirildi. Trakeostomi işlemi, entübasyondan ortalama 14 gün sonra gerçekleştirildi. Hastaların ortalama yaşı 71 olup, çoğunda hipertansiyon, diyabet mellitus ve obezite gibi altta yatan komorbiditeler mevcuttu. Sonuç: 17 COVID-19 hastasında ultrason rehberliğinde yapılan perkütan trakeostomi deneyimimiz, bu yöntemin kritik hasta grubunda güvenli ve etkili bir yaklaşım olduğunu göstermiştir.

Anahtar Kelimeler

• : COVID-19
• ultrason rehberliğinde
• perkütan trakeostomi

The Management of Percutan Tracheostomy in Intensive Care Unit During COVID -19 Pandemic

Öz

Abstract Aim; Coronavirus disease 2019 (COVID-19) has led to a dramatic increase in critically ill patients requiring prolonged mechanical ventilation. Many of these patients require tracheostomies due to prolonged intubation times, respiratory failure, and the need for prolonged ventilatory support. Material and Method; A retrospective analysis was performed on critically ill COVID- 19 patients who were admitted to our ICU and required prolonged mechanical ventilation. Our primery outcome is presenting our experience for performing tracheostomy in COVID-19 patients. Ultrasound guided percutaneous tracheostomy was performed at the bedside in all patients. Results; All percutaneous tracheostomies were performed successfully without complications. The tracheostomy procedure was performed on an average of 14 days after intubation. The mean age of the patients was 71 years, and most had underlying comorbidities such as hypertension, diabetes mellitus, and obesity. Conclusion; Our experience with ultrasound-guided percutaneous tracheostomy in 17 COVİD 19 patients demonstrated that this method is a safe and effective approach in critically ill patients.

Anahtar Kelimeler

• Covid 19
• ultrasound-guided
• percutaneous tracheostomy

Kaynakça

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