G M Koksal1, N C Sayilgan, H Oz. 1. Dept of Anaesth. & Reanimation, Istanbul Univ., Cerrahpasa Medical Faculty, Istanbul, Turkey. gunizkoksal@hotmail.com
Abstract
BACKGROUND: The aim of this study was to investigate the rate, timing, the incidence of complications of percutaneous dilatational tracheostomy (PDT) and its effects by on nosocomial pneumonia. METHODS: The study is a retrospective analysis of 104 patients (56 males, 48 females) > or = 18 years (54 +/- 19) who had undergone a PDT for respiratory failure during the five years 1998-2003. RESULTS: Among 238 patients requiring mechanical ventilation > or = 48 hours, 104 (43.7%) required PDT. PDT was performed after 4.3 +/- 2.3 days of ventilation and the disconnection from mechanical ventilation was 13.6 +/- 8.5 days. Lower airway tract infection was detected in 88 patients: 55 patients (62.5%) before PDT and in 33 patients (37.5%) after PDT. The nosocomial pneumonia was observed after 5.9 +/- 1.67 days of ventilation. CONCLUSIONS: Our results suggest that PDT was performed relatively early, with an acceptable complication rate and that our post-PDT nosocomial pneumonia incidence is low.
BACKGROUND: The aim of this study was to investigate the rate, timing, the incidence of complications of percutaneous dilatational tracheostomy (PDT) and its effects by on nosocomial pneumonia. METHODS: The study is a retrospective analysis of 104 patients (56 males, 48 females) > or = 18 years (54 +/- 19) who had undergone a PDT for respiratory failure during the five years 1998-2003. RESULTS: Among 238 patients requiring mechanical ventilation > or = 48 hours, 104 (43.7%) required PDT. PDT was performed after 4.3 +/- 2.3 days of ventilation and the disconnection from mechanical ventilation was 13.6 +/- 8.5 days. Lower airway tract infection was detected in 88 patients: 55 patients (62.5%) before PDT and in 33 patients (37.5%) after PDT. The nosocomial pneumonia was observed after 5.9 +/- 1.67 days of ventilation. CONCLUSIONS: Our results suggest that PDT was performed relatively early, with an acceptable complication rate and that our post-PDT nosocomial pneumonia incidence is low.
Authors: Evgeni Brotfain; Abraham Borer; Lisa Saidel-Odes; Leonid Koyfman; Amit Frenkel; Alexander Smolikov; Shaun E Gruenbaum; Alexander Zlotnik; Moti Klein Journal: J Acute Med Date: 2017-03-01
Authors: Evgeni Brotfain; Leonid Koyfman; Amit Frenkel; Michael Semyonov; Jochanan G Peiser; Hagit Hayun-Maman; Matthew Boyko; Shaun E Gruenbaum; Alexander Zlotnik; Moti Klein Journal: Crit Care Res Pract Date: 2014-01-12