Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures
DOI:
https://doi.org/10.31053/1853.0605.v77.n3.28474Keywords:
tracheostomy, bronchoscopy, critical careAbstract
Objective: Measurement of the efficacy and complications associated with performing percutaneous tracheostomy (PT) guided by video bronchoscopy.
Materials and methods: Retrospective observational study conducted between May 2017 and August 2019. Adult patients who underwent elective PT guided by video bronchoscopy were included. The criteria for the indication of PT was prolonged weaning from mechanical ventilation in all cases. Demographic variables, APACHE II score and days of mechanical ventilation prior to PT were recorded. The efficacy of the procedure was evaluated based on the success rate in the execution, the need for conversion to open technique. Also complications observed were recorded.
Results: 235 procedures (149 men and 86 women) were evaluated in patients with an average age of 61 years ± 19 and APACHE II score 18 ± 8. The PT was performed quickly and satisfactorily in all patients without conversion to open technique in any case. Complications occurred in 3.8% (9) of the cases. Minor bleeding was the most frequently observed complication in 5 cases (2.1%), hypotension in 3 cases (1.3%), and transient hypoxemia in one patient (0.4%). Also, 2,1% (5) of the cases presented late complications.
Conclusion: Performing PT guided by video bronchoscopy is described as an effective and safe procedure that can be done in intensive care units with a low rate of complications.
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