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04:43
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
[Bronchoscopy-guided percutaneous tracheostomy. A safe technique in intensive care]
Pablo Álvarez-Maldonado1, Abel Pérez-Rosales, Carlos Núñez-Pérez Redondo
1Unidad de Cuidados Intensivos Respiratorios, Servicio de Neumología y Cirugía de Tórax, Hospital General de México O.D. "Dr. Eduardo Lizeaga," Balmis, D.F., México. pamyacs@yahoo.com
Cirugia Y Cirujanos
|March 26, 2013
Summary
Bronchoscopy-guided percutaneous tracheostomy is a safe and versatile alternative to conventional tracheostomy. Performed by trained Intensive Care Unit personnel, it shows comparable complication rates and outcomes.
Area of Science:
- Pulmonary Medicine
- Critical Care Medicine
- Surgical Procedures
Background:
- Conventional surgery for tracheostomy carries certain risks.
- Bronchoscopy-guided percutaneous tracheostomy (BP-T) has emerged as a potentially advantageous alternative.
Purpose of the Study:
- To compare the outcomes of BP-T performed by Intensive Care Unit (ICU) personnel with conventional surgical tracheostomy.
Main Methods:
- A prospective, descriptive cohort study was conducted in a respiratory ICU from March 2010 to March 2012.
- 51 patients underwent tracheostomy: 27 via BP-T and 24 via conventional surgery.
Main Results:
- No significant differences in age or complication rates were observed between BP-T and conventional surgery groups.
- Simplified Acute Physiology Score-3 was higher in the BP-T group, indicating potentially sicker patients.
- Indications included prolonged intubation, neurologic impairment, and laryngeal disease.
Conclusions:
- Bronchoscopy-guided percutaneous tracheostomy is a safe and versatile option for tracheostomy.
- Expertise and appropriate training of ICU personnel are crucial for successful BP-T implementation.
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