Relative contraindications for percutaneous tracheostomy: From the surgeons' perspective

Chien Sheng Huang, Pin Tarng Chen, Shu Hui Cheng, Chun Ku Chen, Po Kuei Hsu, Chih Cheng Hsieh, Chun Che Shih, Wen Hu Hsu

研究成果: 雜誌貢獻文章

8 引文 斯高帕斯(Scopus)

摘要

Purpose: Percutaneous tracheostomy (PT) has gained worldwide acceptance as a bedside procedure by intensivists, but its popularity has declined based on reports of some relative contraindications. The aim of this study was to ascertain the perioperative comorbidities of PT when it is performed by surgeons with experience performing standard tracheostomy. Methods: Prospective data were collected and analyzed for consecutive PTs performed in intensive care units. Results: No procedure-related mortality occurred in the present study. No significant differences in perioperative comorbidities, such as transient hemodynamic instability and postoperative wound infection, were noted between the relative contraindication (RC) and normal condition (NC) groups. Otherwise, instrument failure (5 cases, p = 0.052) and procedure failure (2 cases, p = 0.222) occurred in the RC group, but not in the NC group. Two patients in the NC group and one patient in the RC group needed to undergo a reoperation to check for bleeding. In a subgroup analysis, more bleeding events were noted for the patients with coagulopathy (p = 0.057), and premature extubation of the endotracheal tube/instrument failure (p = 0.073) was more common in the patients with neck anatomical difficulty in the RC group. Conclusions: For patients with relative contraindications, the potential of using PT should be determined on an individual basis. Special attention should be paid to the possibility of instrument failure and bleeding events for the patients with relative contraindications for PT.
原文英語
頁(從 - 到)107-114
頁數8
期刊Surgery Today
44
發行號1
DOIs
出版狀態已發佈 - 一月 1 2014
對外發佈Yes

ASJC Scopus subject areas

  • Surgery

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    Huang, C. S., Chen, P. T., Cheng, S. H., Chen, C. K., Hsu, P. K., Hsieh, C. C., Shih, C. C., & Hsu, W. H. (2014). Relative contraindications for percutaneous tracheostomy: From the surgeons' perspective. Surgery Today, 44(1), 107-114. https://doi.org/10.1007/s00595-013-0491-y