Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures
Objective: Measurement of the efficacy and complications associated with performing percutaneous tracheostomy (PT) guided by video bronchoscopy. Materials and methods: Retrospective observational study conducted between May 2017 and August 2019. Adult patients who underwent elective PT guided by vid...
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| Formato: | Artículo revista |
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/28474 |
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I10-R10-article-28474 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
tracheostomy bronchoscopy critical care traqueostomia broncoscopia cuidados intensivos traqueostomia broncoscopia cuidados intensivos |
| spellingShingle |
tracheostomy bronchoscopy critical care traqueostomia broncoscopia cuidados intensivos traqueostomia broncoscopia cuidados intensivos Carboni Bisso, Indalecio Huespe, Iván Schverdfinger, Sofía Videla, Carlos Montagne, Juan Dietrich, Agustín Smith, David San Román, Eduardo Las Heras, Marcos Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures |
| topic_facet |
tracheostomy bronchoscopy critical care traqueostomia broncoscopia cuidados intensivos traqueostomia broncoscopia cuidados intensivos |
| author |
Carboni Bisso, Indalecio Huespe, Iván Schverdfinger, Sofía Videla, Carlos Montagne, Juan Dietrich, Agustín Smith, David San Román, Eduardo Las Heras, Marcos |
| author_facet |
Carboni Bisso, Indalecio Huespe, Iván Schverdfinger, Sofía Videla, Carlos Montagne, Juan Dietrich, Agustín Smith, David San Román, Eduardo Las Heras, Marcos |
| author_sort |
Carboni Bisso, Indalecio |
| title |
Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures |
| title_short |
Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures |
| title_full |
Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures |
| title_fullStr |
Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures |
| title_full_unstemmed |
Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures |
| title_sort |
percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures |
| description |
Objective: Measurement of the efficacy and complications associated with performing percutaneous tracheostomy (PT) guided by video bronchoscopy.
Materials and methods: Retrospective observational study conducted between May 2017 and August 2019. Adult patients who underwent elective PT guided by video bronchoscopy were included. The criteria for the indication of PT was prolonged weaning from mechanical ventilation in all cases. Demographic variables, APACHE II score and days of mechanical ventilation prior to PT were recorded. The efficacy of the procedure was evaluated based on the success rate in the execution, the need for conversion to open technique. Also complications observed were recorded.
Results: 235 procedures (149 men and 86 women) were evaluated in patients with an average age of 61 years ± 19 and APACHE II score 18 ± 8. The PT was performed quickly and satisfactorily in all patients without conversion to open technique in any case. Complications occurred in 3.8% (9) of the cases. Minor bleeding was the most frequently observed complication in 5 cases (2.1%), hypotension in 3 cases (1.3%), and transient hypoxemia in one patient (0.4%). Also, 2,1% (5) of the cases presented late complications.
Conclusion: Performing PT guided by video bronchoscopy is described as an effective and safe procedure that can be done in intensive care units with a low rate of complications. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/28474 |
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2022-08-20T01:27:28Z |
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I10-R10-article-284742020-11-02T19:53:32Z Percutaneous tracheostomy guided by bronchoscopy: experience in 235 procedures Traqueostomía percutánea guiada por broncoscopía: experiencia en 235 procedimientos Traqueostomia percutânea guiada por broncoscopia: experiência em 235 procedimentos Carboni Bisso, Indalecio Huespe, Iván Schverdfinger, Sofía Videla, Carlos Montagne, Juan Dietrich, Agustín Smith, David San Román, Eduardo Las Heras, Marcos tracheostomy bronchoscopy critical care traqueostomia broncoscopia cuidados intensivos traqueostomia broncoscopia cuidados intensivos Objective: Measurement of the efficacy and complications associated with performing percutaneous tracheostomy (PT) guided by video bronchoscopy. Materials and methods: Retrospective observational study conducted between May 2017 and August 2019. Adult patients who underwent elective PT guided by video bronchoscopy were included. The criteria for the indication of PT was prolonged weaning from mechanical ventilation in all cases. Demographic variables, APACHE II score and days of mechanical ventilation prior to PT were recorded. The efficacy of the procedure was evaluated based on the success rate in the execution, the need for conversion to open technique. Also complications observed were recorded. Results: 235 procedures (149 men and 86 women) were evaluated in patients with an average age of 61 years ± 19 and APACHE II score 18 ± 8. The PT was performed quickly and satisfactorily in all patients without conversion to open technique in any case. Complications occurred in 3.8% (9) of the cases. Minor bleeding was the most frequently observed complication in 5 cases (2.1%), hypotension in 3 cases (1.3%), and transient hypoxemia in one patient (0.4%). Also, 2,1% (5) of the cases presented late complications. Conclusion: Performing PT guided by video bronchoscopy is described as an effective and safe procedure that can be done in intensive care units with a low rate of complications. Objetivo: Medición de la eficacia y relevamiento de las complicaciones asociadas a la a realización de traqueostomía percutánea (TP) guiada por videobroncoscopia en un hospital universitario de alta complejidad. Materiales y métodos: Estudio observacional retrospectivo realizado entre mayo de 2017 y agosto de 2019. El criterio para la indicación de TP fue desvinculación prolongada de la ventilación mecánica en todos los casos. Incluyó pacientes mayores de 18 años en que se realizó TP electiva guiada por videobroncoscopia. Se registraron variables demográficas, APACHE II y días de ventilación mecánica previos a la TP. La eficacia del procedimiento fue evaluada en base a la tasa de éxito en la ejecución, la necesidad de conversión a técnica abierta. Asimismo, se registraron las complicaciones observadas. Resultados: Se evaluaron 235 procedimientos (149 hombres y 86 mujeres) en pacientes con edad media de 61 años ± 19, un score APACHE II 18 ± 8. La TP pudo ser ejecutada en forma rápida y satisfactoria en todos los pacientes sin requerimiento de conversión a técnica abierta. Se presentaron complicaciones tempranas en el 3,8% (9) de los casos. El sangrado menor fue la complicación más frecuentemente observada en 5 casos (2,1%), hipotensión en 3 casos (1,3%) e hipoxemia transitoria en un caso (0,4%). Asimismo el 2,1% (5) de los casos registró complicaciones tardías. Conclusión: La realización de TP mediante la técnica de dilatador único guiada por videobroncoscopia se describe como un procedimiento efectivo y seguro, que puede realizarse en unidades de cuidados intensivos con baja tasa de complicaciones. Objetivo: Medir a eficácia e as complicações associadas à realização de traqueostomia percutânea (TP) guiada por videobroncoscopia. Materiais e métodos: Estudo observacional retrospectivo realizado entre maio de 2017 e agosto de 2019. Foram incluídos pacientes adultos submetidos a TP eletivo guiado por vídeo broncoscopia. Os critérios para indicação de TP foram desmame prolongado da ventilação mecânica em todos os casos. Foram registradas variáveis demográficas, escore APACHE II e dias de ventilação mecânica antes do TP. A eficácia do procedimento foi avaliada com base na taxa de sucesso na execução, na necessidade de conversão para a técnica aberta. Também foram observadas complicações observadas. Resultados: foram avaliados 235 procedimentos (149 homens e 86 mulheres) em pacientes com idade média de 61 anos ± 19 e escore APACHE II 18 ± 8. O TP foi realizada de forma rápida e satisfatória em todos os pacientes sem conversão para técnica aberta. Complicações ocorreram em 3,8% (9) dos casos. Sangramento menor foi a complicação mais frequentemente observada em 5 casos (2,1%), hipotensão em 3 casos (1,3%) e hipoxemia transitória em um paciente (0,4%). Além disso, 2,1% (5) dos casos apresentaram complicações tardias. Conclusão: A realização de TP guiada por vídeo broncoscopia é descrita como um procedimento eficaz e seguro que pode ser realizado em unidades de terapia intensiva com baixo índice de complicações. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-08-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/28474 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 3 (2020); 187-190 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 3 (2020); 187-190 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 3 (2020); 187-190 1853-0605 0014-6722 10.31053/1853.0605.v77.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/28474/30394 https://revistas.unc.edu.ar/index.php/med/article/view/28474/31182 Derechos de autor 2020 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |