Aykut Saritas1, Pelin Uzun Saritas1, Muhammed Murat Kurnaz1, Serbulent Gokhan Beyaz2, Tolga Ergonenc3. 1. Department of Anesthesiology, Prof. Dr. A. Ilhan Ozdemir State Hospital, Anesthesiology and Reanimation, Giresun, Republic of Turkey. 2. Sakarya University Faculty of Medicine, Department of Anesthesiology and Pain Medicine, Sakarya, Republic of Turkey. 3. Department of Anesthesiology and Pain Management, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey.
Abstract
OBJECTIVE: To evaluate percutaneous dilatational tracheostomy with and without the use of the bronchoscope and compare the safety and complications of the procedure. METHODS: The prospective, randomised-controlled study was conducted at the Professor A. Ilhan Ozdemir State Hospital, Giresun, Turkey, between October 2013 and February 2014, and comprised patients ≥18 years of age who were dependent on mechanical ventilation for an extended duration and were scheduled to undergopercutaneous dilatational tracheostomy with Griggs technique. The patients were randomly divided into two groups; group A received standard c that was opened without using fiberoptic bronchoscopy, while group B received percutaneous dilatational tracheostomy that was opened using fiberoptic bronchoscopy. Complications and number of applied needle approaches were recorded. RESULTS: Of the 60 patients, 35(58.3%) were women. The patients were divided into two groups of 30(50%) each. None of the patients developed pneumothorax, subcutaneous emphysema, or oesophageal perforation. The numbers of needle interventions and total complications were significantly higher in group A than group B (p<0.05). Procedure duration was significantly longer in group B (p<0.05). CONCLUSIONS:Percutaneous dilatational tracheostomy was reliable when applied with fiberoptic bronchoscopy due to the significantly lower complication rates.
RCT Entities:
OBJECTIVE: To evaluate percutaneous dilatational tracheostomy with and without the use of the bronchoscope and compare the safety and complications of the procedure. METHODS: The prospective, randomised-controlled study was conducted at the Professor A. Ilhan Ozdemir State Hospital, Giresun, Turkey, between October 2013 and February 2014, and comprised patients ≥18 years of age who were dependent on mechanical ventilation for an extended duration and were scheduled to undergo percutaneous dilatational tracheostomy with Griggs technique. The patients were randomly divided into two groups; group A received standard c that was opened without using fiberoptic bronchoscopy, while group B received percutaneous dilatational tracheostomy that was opened using fiberoptic bronchoscopy. Complications and number of applied needle approaches were recorded. RESULTS: Of the 60 patients, 35(58.3%) were women. The patients were divided into two groups of 30(50%) each. None of the patients developed pneumothorax, subcutaneous emphysema, or oesophageal perforation. The numbers of needle interventions and total complications were significantly higher in group A than group B (p<0.05). Procedure duration was significantly longer in group B (p<0.05). CONCLUSIONS: Percutaneous dilatational tracheostomy was reliable when applied with fiberoptic bronchoscopy due to the significantly lower complication rates.
Authors: Manuel Bernal-Sprekelsen; Francesc Xavier Avilés-Jurado; Julián Álvarez Escudero; César Aldecoa Álvarez-Santuyano; Candelaria de Haro López; Pedro Díaz de Cerio Canduela; Eduardo Ferrandis Perepérez; Carlos Ferrando Ortolá; Ricard Ferrer Roca; Alberto Hernández Tejedor; Fernando López Álvarez; Pablo Monedero Rodríguez; Andrea Ortiz Suñer; Pablo Parente Arias; Antonio Planas Roca; Guillermo Plaza Mayor; Pedro Rascado Sedes; Jon Alexander Sistiaga Suárez; Claudia Vera Ching; Rosa Villalonga Vadell; María Cruz Martín Delgado Journal: Acta Otorrinolaringol Esp (Engl Ed) Date: 2020-05-11
Authors: R Villalonga Vadell; M C Martín Delgado; F X Avilés-Jurado; J Álvarez Escudero; C Aldecoa Álvarez-Santuyano; C de Haro López; P Díaz de Cerio Canduela; E Ferrandis Perepérez; C Ferrando Ortolá; R Ferrer Roca; A Hernández Tejedor; F López Álvarez; P Monedero Rodríguez; A Ortiz Suñer; P Parente Arias; A Planas Roca; G Plaza Mayor; P Rascado Sedes; J A Sistiaga Suárez; C Vera Ching; R Villalonga Vadell; M C Martín Delgado; M Bernal-Sprekelsen Journal: Rev Esp Anestesiol Reanim (Engl Ed) Date: 2020-06-10
Authors: M C Martín Delgado; F X Avilés-Jurado; J Álvarez Escudero; C Aldecoa Álvarez-Santuyano; C de Haro López; P Díaz de Cerio Canduela; E Ferrandis Perepérez; C Ferrando Ortolá; R Ferrer Roca; A Hernández Tejedor; F López Álvarez; P Monedero Rodríguez; A Ortiz Suñer; P Parente Arias; A Planas Roca; G Plaza Mayor; P Rascado Sedes; J A Sistiaga Suárez; C Vera Ching; R Villalonga Vadell; M Bernal-Sprekelsen Journal: Med Intensiva (Engl Ed) Date: 2020-05-08