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Predictors of difficulty in bedside percutaneous dilatational tracheostomy: pilot study
Lucas Ribeiro TenÓrio1, Marianne Yumi Nakai1, JÚlio PatrocÍnio Moraes2
1School of Medical Science, Santa Casa de São Paulo, São Paulo, SP, Brazil.
Revista Do Colegio Brasileiro De Cirurgioes
|July 16, 2020
Summary
Shorter sternohyoid distance (<7 cm) predicts increased technical difficulty during bedside percutaneous dilatational tracheostomy in the ICU. This finding aids in anticipating and managing procedural challenges.
Area of Science:
- Critical Care Medicine
- Surgical Procedures
- Anatomy
Background:
- Percutaneous dilatational tracheostomy is a common ICU procedure.
- Lack of defined indicators for technical difficulty exists.
Purpose of the Study:
- Identify predictors of difficulty in bedside percutaneous dilatational tracheostomy.
Main Methods:
- Prospective cohort study.
- 21 patients undergoing bedside percutaneous dilatational tracheostomy.
- Single-center ICU setting.
Main Results:
- Sternohyoid (SH) distance < 7 cm is linked to a 50% increased risk of technical difficulty.
- Odds ratio (OR) of 0.44 with p < 0.03.
Conclusions:
- Reduced SH distance correlates with higher difficulty during ICU bedside tracheostomy.
- SH distance is a potential indicator for procedural risk assessment.
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