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[Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures].
Indalecio Carboni Bisso1, Iván Huespe2, Sofía Schverdfinger3
1Hospital Italiano de Buenos Aires. indalecio.carbonibisso@hospitalitaliano.org.ar.
Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|September 29, 2020
Summary
Percutaneous tracheostomy (PT) guided by video bronchoscopy is a safe and effective procedure for patients requiring prolonged mechanical ventilation. This study found a low complication rate, demonstrating its utility in intensive care units.
Area of Science:
- Critical Care Medicine
- Pulmonology
- Surgical Procedures
Background:
- Percutaneous tracheostomy (PT) is a crucial intervention for patients needing prolonged mechanical ventilation.
- Video bronchoscopy guidance enhances the safety and efficacy of PT procedures.
Purpose of the Study:
- To evaluate the efficacy and complication rates of video bronchoscopy-guided PT.
- To assess the safety of PT in a high-complexity university hospital setting.
Main Methods:
- A retrospective observational study was conducted from May 2017 to August 2019.
- Included adult patients undergoing elective PT guided by video bronchoscopy for prolonged mechanical ventilation weaning.
- Collected demographic data, APACHE II scores, and pre-procedure ventilation duration.
Main Results:
- 235 PT procedures were performed successfully without conversion to open technique.
- Early complications occurred in 3.8% of cases, including minor bleeding (2.1%), hypotension (1.3%), and transient hypoxemia (0.4%).
- Late complications were observed in 2.1% of cases.
Conclusions:
- Video bronchoscopy-guided PT is an effective and safe procedure.
- The technique can be successfully implemented in intensive care units with a low complication profile.
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