Department of Anaesthesia and Intensive Care, Papworth Hospital NHS Foundation Trust, Cambridge, UK.
Department of Anaesthesia and Intensive Care, Papworth Hospital NHS Foundation Trust, Cambridge, UK.
J Cardiothorac Vasc Anesth. 2018 Jun;32(3):1162-1166. doi: 10.1053/j.jvca.2017.08.010. Epub 2017 Aug 3.
To evaluate the bleeding complications associated with percutaneous tracheostomy while a patient is receiving venovenous extracorporeal membrane oxygen (VV ECMO) support.
Retrospective, observational analysis.
Single-center, tertiary, academic institution.
All consecutive patients on VV ECMO over a 10 year-period undergoing percutaneous tracheostomy.
Percutaneous tracheostomy.
Fifty percutaneous tracheostomies were performed in patients requiring VV ECMO support over the 10-year period. The authors observed a 40% incidence of bleeding, with 32% of these incidences characterized as minor (self-limiting, localized stomal ooze) and 8% characterized as significant (necessitating surgical control and frequent packing or accompanied by a decrease in hemoglobin >20%).
Bleeding is associated with percutaneous tracheostomy and is self-limiting in the majority of patients.
评估患者接受静脉-静脉体外膜肺氧合（VV ECMO）支持时经皮气管切开术相关的出血并发症。
回顾性观察性分析。
单中心、三级、学术机构。
在 10 年期间接受 VV ECMO 的所有连续患者均进行经皮气管切开术。
经皮气管切开术。
在 10 年期间，需要 VV ECMO 支持的患者中进行了 50 例经皮气管切开术。作者观察到出血发生率为 40%，其中 32%的出血程度较轻（自限性，局部气管瘘口渗血），8%的出血程度较重（需要手术控制和频繁填塞，或伴有血红蛋白下降>20%）。
经皮气管切开术与出血相关，大多数患者的出血是自限性的。
