Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit
Background Percutaneous dilatational tracheostomy (PDT) is one of the most commonly performed procedures on critically ill patients, and many studies have shown the safety and feasibility of PDT, but there is limited data of PDT in neurocritical care units. We described our experience on PDT perform...
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| Format: | Article |
| Language: | English |
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The Korean Neurocritical Care Society
2018-06-01
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| Series: | Journal of Neurocritical Care |
| Subjects: | |
| Online Access: | http://www.e-jnc.org/upload/pdf/jnc-170031.pdf |
| _version_ | 1818864464626188288 |
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| author | Dong Hyun Lee Jin-Heon Jeong |
| author_facet | Dong Hyun Lee Jin-Heon Jeong |
| author_sort | Dong Hyun Lee |
| collection | DOAJ |
| description | Background Percutaneous dilatational tracheostomy (PDT) is one of the most commonly performed procedures on critically ill patients, and many studies have shown the safety and feasibility of PDT, but there is limited data of PDT in neurocritical care units. We described our experience on PDT performed by neurointensivist. Methods The PDTs were performed by a neurointensivist at the bedside using the Griggs guide wire dilating forceps technique. To confirm a secure puncture site, the PDT was done under fiberoptic bronchoscopic guidance. From September 2015 to August 2017, procedural data were prospectively collected, and the patients’ demographic and clinical characteristics were retrospectively reviewed. We analyzed immediate complications of PDT as the primary outcome. Results The PDTs were performed for 46 patients; and the mean age was 65.9 years, 26 (56.5%) were male, and the mean acute physiology and chronic health evaluation II score was 20.5. Overall, the procedural success rate was 100%, and the mean procedural time was 19.7±9.3 minutes. Periprocedural complications occurred in 13 (28.3%) patients; with 10 having minor bleeding and three having a tracheal ring fracture. There were no serious periprocedural complications of PDT. Conclusion From our experience, the PDT in the neurocritical care unit was safe and feasible and was implemented without serious complications. |
| first_indexed | 2024-12-19T10:32:04Z |
| format | Article |
| id | doaj.art-ef271d631fd747ca88b8ae5fe39b74e1 |
| institution | Directory Open Access Journal |
| issn | 2005-0348 2508-1349 |
| language | English |
| last_indexed | 2024-12-19T10:32:04Z |
| publishDate | 2018-06-01 |
| publisher | The Korean Neurocritical Care Society |
| record_format | Article |
| series | Journal of Neurocritical Care |
| spelling | doaj.art-ef271d631fd747ca88b8ae5fe39b74e12022-12-21T20:25:44ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492018-06-01111323810.18700/jnc.170031276Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care UnitDong Hyun Lee0Jin-Heon Jeong1Department of Intensive Care Medicine, Dong-A University Hospital, Dong-A University College of Medicine, Busan, KoreaDepartment of Intensive Care Medicine, Dong-A University Hospital, Dong-A University College of Medicine, Busan, KoreaBackground Percutaneous dilatational tracheostomy (PDT) is one of the most commonly performed procedures on critically ill patients, and many studies have shown the safety and feasibility of PDT, but there is limited data of PDT in neurocritical care units. We described our experience on PDT performed by neurointensivist. Methods The PDTs were performed by a neurointensivist at the bedside using the Griggs guide wire dilating forceps technique. To confirm a secure puncture site, the PDT was done under fiberoptic bronchoscopic guidance. From September 2015 to August 2017, procedural data were prospectively collected, and the patients’ demographic and clinical characteristics were retrospectively reviewed. We analyzed immediate complications of PDT as the primary outcome. Results The PDTs were performed for 46 patients; and the mean age was 65.9 years, 26 (56.5%) were male, and the mean acute physiology and chronic health evaluation II score was 20.5. Overall, the procedural success rate was 100%, and the mean procedural time was 19.7±9.3 minutes. Periprocedural complications occurred in 13 (28.3%) patients; with 10 having minor bleeding and three having a tracheal ring fracture. There were no serious periprocedural complications of PDT. Conclusion From our experience, the PDT in the neurocritical care unit was safe and feasible and was implemented without serious complications.http://www.e-jnc.org/upload/pdf/jnc-170031.pdfTracheostomySafetyCritical careHemorrhage |
| spellingShingle | Dong Hyun Lee Jin-Heon Jeong Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit Journal of Neurocritical Care Tracheostomy Safety Critical care Hemorrhage |
| title | Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit |
| title_full | Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit |
| title_fullStr | Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit |
| title_full_unstemmed | Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit |
| title_short | Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit |
| title_sort | safety and feasibility of percutaneous dilatational tracheostomy in the neurocritical care unit |
| topic | Tracheostomy Safety Critical care Hemorrhage |
| url | http://www.e-jnc.org/upload/pdf/jnc-170031.pdf |
| work_keys_str_mv | AT donghyunlee safetyandfeasibilityofpercutaneousdilatationaltracheostomyintheneurocriticalcareunit AT jinheonjeong safetyandfeasibilityofpercutaneousdilatationaltracheostomyintheneurocriticalcareunit |