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Unassisted percutaneous tracheostomy: A new flow chart decision making based on simple physical conditions
Nicolás Avalos1, Rodrigo Cataldo2, Luis Contreras1
1Instituto Chileno de Cabeza y Cuello, Chile; Hospital FACH, Chile.
Introduction:
Percutaneous dilatation tracheostomy (PDT) has several advantages over traditional surgical tracheostomy. However, it is still performed using bronchoscopy guidance.
Objective:
To suggest the safety of unassisted PDT, without bronchoscopy guidance, based on bed-side screening flow chart evaluation.
Material And Methods:
180 consecutive UCI patients referred to tracheostomy were submitted to Avalo's Screening Chart (ASC), in order to decide surgical technique.
Results:
161 patients were referred to unassisted PDT (un PDT) and 19 to surgical tracheostomy (ST) due to nonfulfillment of ASC steps. 10 patients submitted to unassisted PDT presented early complications, 8 presented mild bleeding and 2 false tracts. None of 6 months follow up patients presented long term complications.
Conclusion:
The authors suggest unPDT is a safety surgical method in UCI patients who were submitted and approved to an easy anatomical and clinical screening chart (ASC).
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