Aim
The aim of study to evaluate the bedside percutaneous dilatation tracheostomy, performed with Fiberoptic bronchoscopy guided Griggs technique using a mini-tracheostomy needle, by residents in intensive care unit retrospectively.
Materials and Methods
Percutaneous dilatation tracheostomys performed in 20 intensive care unit patients using a mini-tracheostomy needle. All percutaneous dilatation tracheostomy procedures were performed by a resident who was currently undergoing intensive care unit residency training. Griggs technique was used in all procedures. All complications, the time from needle insertion to the insertion of the tracheostomy cannula was also noted.
Results
The average age of the patients was 69.8 ± 16.14 years. The mean Acute Physiology and Chronic Health Assessment (APACHE) II score of the patients was 23.05 ± 6.16, Glasgow Coma Scale (GCS) score was 10 ± 3.43, and Sepsis-Related Organ Failure Assessment (SOFA) score was 7.2 ± 2.11. The mean procedure time was 13 ± 1.68 minutes, and the day of tracheostomy application was 6.35 ± 4.59. Twelve (60%) patients were switched to home-type ventilators. Ten (50%) of the patients were transferred to the palliative ward with home-type ventilator. Mortality rate was 20% (4 patients) at 90 days. When patients were evaluated in terms of complications; none of the patients had pneumothorax, subcutaneous emphysema, posterior tracheal wall damage, or tracheoesophageal fistula. Minimal bleeding that required no intervention was observed in only one patient.
Conclusion
Using Mini-trach® needle in percutaneous dilatation tracheostomys performed via fiberoptic broncoscopy by less experienced residents may be safer to prevent complications.
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Orijinal Makale |
Yazarlar | |
Yayımlanma Tarihi | 28 Mart 2021 |
Yayımlandığı Sayı | Yıl 2021 Cilt: 4 Sayı: 2 |
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
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Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamıştır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/2316/file/4905/show
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