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Published on: May 26, 2023
Bleeding Complications Associated With Percutaneous Tracheostomy Insertion in Patients Supported With Venovenous
Natalie Kruit1, Kamen Valchanov1, Gregoire Blaudszun1
1Department of Anaesthesia and Intensive Care, Papworth Hospital NHS Foundation Trust, Cambridge, UK.
Objectives:
To evaluate the bleeding complications associated with percutaneous tracheostomy while a patient is receiving venovenous extracorporeal membrane oxygen (VV ECMO) support.
Design:
Retrospective, observational analysis.
Setting:
Single-center, tertiary, academic institution.
Participants:
All consecutive patients on VV ECMO over a 10 year-period undergoing percutaneous tracheostomy.
Interventions:
Percutaneous tracheostomy.
Measurements And Main Results:
Fifty percutaneous tracheostomies were performed in patients requiring VV ECMO support over the 10-year period. The authors observed a 40% incidence of bleeding, with 32% of these incidences characterized as minor (self-limiting, localized stomal ooze) and 8% characterized as significant (necessitating surgical control and frequent packing or accompanied by a decrease in hemoglobin >20%).
Conclusions:
Bleeding is associated with percutaneous tracheostomy and is self-limiting in the majority of patients.
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