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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
[Percutaneous tracheostomy in ventilated patients]
J Madero Pérez1, B Vidal Tegedor, R Abizanda Campos
1Servicio de Medicina Intensiva, Hospital Universitario Asociado General de Castellón, Castellón, España. abizanda_ric@gva.es
Medicina Intensiva
|April 19, 2007
Summary
Percutaneous tracheostomy, a less invasive procedure, demonstrated a low complication rate in our ICU experience. This technique effectively reduced the need for mechanical ventilation support in patients.
Area of Science:
- Critical Care Medicine
- Pulmonology
- Surgical Techniques
Context:
- Percutaneous tracheostomy offers a less invasive alternative to conventional surgical tracheostomy.
- Implementation of percutaneous tracheostomy in a 19-bed intensive care unit (ICU) setting.
- Review of 115 procedures performed between 2001 and 2003.
Purpose:
- To review the experience and outcomes of percutaneous tracheostomy performed at the bedside in an ICU.
- To evaluate the complication rates and impact on ventilatory support.
- To assess the feasibility and effectiveness of percutaneous tracheostomy.
Summary:
- A retrospective observational study analyzed 115 percutaneous tracheostomies in ICU patients (median age 65).
- Indications included prolonged mechanical ventilation (52 patients) and coma (28 patients).
- Serious complications occurred in 4% of patients, primarily fistulae in those with bedside procedures; ventilatory support decreased post-procedure.
Impact:
- Percutaneous tracheostomy is an adequate ICU bedside procedure with a low complication rate.
- The technique facilitates a reduction in the level of mechanical ventilation support required.
- Findings support percutaneous tracheostomy as a valuable intervention in intensive care settings.
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