TY - JOUR
T1 - Traqueostomía percutánea en cuidado intensivo
T2 - Una opción rápida, fácil y segura
AU - Laverde-Sabogal, Carlos
AU - Moreno-Ojeda, Oscar
AU - Patiño-Hernández, Daniela
N1 - Publisher Copyright:
© 2020 Sociedad de Anestesiologia de Chile. All rights reserved.
PY - 2020
Y1 - 2020
N2 - invasive mechanical ventilation (iMV) is one of the most frequent causes of admission to the intensive Care unit (iCu), when such support is prolonged and its removal is not possible, tracheostomy emerges as the only alternative. We seek to identify and describe the clinical outcomes of patients in iMV undergoing a percutaneous tracheostomy technique. We present a descriptive cross-sectional study based on a cohort of adult patients with iMV admitted to the iCu between January 1, 2017 and June 30, 2019, performing the percutaneous tracheostomy technique at the patient’s bedside. Demographic, intervention and outcome variables were collected. We found 46 patients, with an average age of 52.6 years (DE), 69.57% corresponded to male sex. the most frequent indication was the presence of neurological disorders, and the average number of days until its completion was 10.36%. 36.96% were performed by the intensivists and the remaining 63.04% by general surgeons, their percentage of complications was diferent, compared to 7.4% worldwide. the most frequent complication was the pneumothorax 6.5%. We did not have mortality or infections. Percutaneous tracheostomy is a safe, fast and efficient alternative achievable in the patient’s bedside by the trained anesthesiologist.
AB - invasive mechanical ventilation (iMV) is one of the most frequent causes of admission to the intensive Care unit (iCu), when such support is prolonged and its removal is not possible, tracheostomy emerges as the only alternative. We seek to identify and describe the clinical outcomes of patients in iMV undergoing a percutaneous tracheostomy technique. We present a descriptive cross-sectional study based on a cohort of adult patients with iMV admitted to the iCu between January 1, 2017 and June 30, 2019, performing the percutaneous tracheostomy technique at the patient’s bedside. Demographic, intervention and outcome variables were collected. We found 46 patients, with an average age of 52.6 years (DE), 69.57% corresponded to male sex. the most frequent indication was the presence of neurological disorders, and the average number of days until its completion was 10.36%. 36.96% were performed by the intensivists and the remaining 63.04% by general surgeons, their percentage of complications was diferent, compared to 7.4% worldwide. the most frequent complication was the pneumothorax 6.5%. We did not have mortality or infections. Percutaneous tracheostomy is a safe, fast and efficient alternative achievable in the patient’s bedside by the trained anesthesiologist.
KW - Complications
KW - Mechanical ventilation release
KW - Percutaneous tracheostomy
UR - http://www.scopus.com/inward/record.url?scp=85094150758&partnerID=8YFLogxK
U2 - 10.25237/REVCHILANESTV49N05-14
DO - 10.25237/REVCHILANESTV49N05-14
M3 - Artículo
AN - SCOPUS:85094150758
SN - 0716-4076
VL - 49
SP - 708
EP - 713
JO - Revista Chilena de Anestesia
JF - Revista Chilena de Anestesia
IS - 5
ER -