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Percutaneous Tracheostomy by Physician Intensivists.
Asad Zaman Khan1, Aslam Khan2, Arshad Naseem2
1Department of Critical Care, Queen Elizabeth Hospital, Birmingham, UK.
Summary
Percutaneous tracheostomy is a safe procedure in medical intensive care units (ICUs) in developing countries when performed by experienced physician intensivists following established protocols. This study found a low complication rate, demonstrating its safety and efficacy.
Area of Science:
- Critical Care Medicine
- Surgical Procedures
- Patient Safety
Background:
- Percutaneous tracheostomy is a common procedure in intensive care units (ICUs).
- Assessing the safety of this procedure when performed by physician intensivists is crucial, especially in resource-limited settings.
Purpose of the Study:
- To evaluate the safety and outcomes of percutaneous tracheostomy performed by physician intensivists in a Medical ICU.
- To identify any immediate complications associated with the procedure.
Main Methods:
- A descriptive study analyzing departmental records of percutaneous tracheostomies performed between September 2013 and August 2016.
- Data collected included patient diagnoses, operator qualifications, adherence to protocol, and complication occurrence.
Main Results:
- Fifty-six procedures were performed, predominantly in patients with neurological illnesses (80%).
- All operators were experienced physician intensivists.
- A low complication rate of 5.35% was observed, with no procedure-related deaths.
Conclusions:
- Percutaneous tracheostomy is a safe procedure when conducted by experienced physician intensivists in Medical ICUs within developing countries.
- Adherence to defined protocols is key to ensuring patient safety during percutaneous tracheostomy.
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