[Fiberoptic Bronchoscopy Assisted Percutaneous Tracheostomy: Report of 100 Patients]

Rev Med Chil. 2008 Sep;136(9):1113-20. Epub 2008 Nov 12.
[Article in Spanish]

Abstract

Background: Development of percutaneous techniques for tracheostomy have facilitated its implementation in the intensive care unit (ICU).

Aim: To evaluate the safety of performing percutaneous tracheostomy (PT) using the Ciaglia Blue Rhino technique with fiberoptic bronchoscopy assistance in patients with prolonged mechanical ventilation.

Patients and methods: Prospective evaluation of 100 consecutive patients aged 62+/-16 years (38 women) subjected to percutaneous tracheostomy. All the procedures were performed in the ICU. Demographic variables, APACHE II, days of mechanical ventilation before PT, operative and post-operative complications were recorded.

Results: Mean APACHE II score was 20+/-3. Patients required on average 16+/-7 days of mechanical ventilation before PT. Eight patients (8%) had operative complications. One had an episode of transitory desaturation, one had a transitory hypotension related to sedation and six had mild bleeding not requiring transfusion. No patient required conversion to surgical tracheostomy. Four patients (4%) presented post-operative complications. Two had a mild and transitory bleeding of the ostomy and two had a displacement of the cannula. No other complications were observed.

Conclusions: PT using the Ciaglia Blue Rhino technique with fiberoptic bronchoscopy assistance is a safe procedure that can be performed in the ICU by trained intensivists.

Publication types

  • Evaluation Study

MeSH terms

  • APACHE
  • Bronchoscopy / adverse effects
  • Bronchoscopy / methods*
  • Dilatation / adverse effects
  • Dilatation / methods
  • Female
  • Fiber Optic Technology / methods
  • Humans
  • Intensive Care Units
  • Intraoperative Complications / etiology
  • Intubation, Intratracheal / adverse effects
  • Intubation, Intratracheal / methods
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Prospective Studies
  • Respiration, Artificial / adverse effects
  • Respiration, Artificial / methods
  • Tracheostomy / adverse effects
  • Tracheostomy / instrumentation
  • Tracheostomy / methods*
  • Treatment Outcome