不使用纤维支气管镜进行经皮扩张气管切开术。
Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope.
作者信息
Yaghoubi Siamak, Massoudi Nilofar, Fathi Mohammad, Nooraei Navid, Khezri Marzieh Beygom, Abdollahi Sareh
机构信息
Department of Anaesthesiology, Qazvin University of Medical Sciences, Qazvin, Iran.
Clinical Research and Development Unit at Shahid Modarres Hospital, Department of Anaesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Tanaffos. 2020 Jan;19(1):60-65.
BACKGROUND
Percutaneous tracheostomy is an elective method that is increasingly being taken up in the intensive care unit alongside the patient's bed. In many centers, bronchoscopy is used, but the necessity of using bronchoscopy in percutaneous tracheostomy has not yet been determined. Discontinuing use of bronchoscopy can potentially reduce the cost and increase the efficiency of percutaneous tracheostomy. Therefore, in this study, we performed a percutaneous dilatational tracheostomy without using fiberoptic bronchoscopy.
MATERIALS AND METHODS
This study was performed as a descriptive epidemiological survey among 70 patients in Shahid Rajaei Hospital of Qazvin in 2015 and 2016. The results were assessed in the patients.
RESULTS
In this study, pneumothorax, trauma, major and minor bleeding, cuff leak and change to surgical procedures as well as accidental extubation were not seen. However, subcutaneous emphysema, mal-position and hypoxia each were seen in one patient (1.4%).
CONCLUSION
Totally the results demonstrated that percutaneous dilatation tracheostomy without fiberoptic bronchoscopic guidance is useful and safe.
背景
经皮气管切开术是一种择期手术方法，越来越多地在重症监护病房患者床边开展。在许多中心，会使用支气管镜，但经皮气管切开术中使用支气管镜的必要性尚未确定。停止使用支气管镜可能会降低经皮气管切开术的成本并提高其效率。因此，在本研究中，我们进行了不使用纤维支气管镜的经皮扩张气管切开术。
材料与方法
本研究于2015年和2016年在加兹温的沙希德拉贾伊医院对70例患者进行了描述性流行病学调查。对患者的结果进行了评估。
结果
在本研究中，未观察到气胸、创伤、大出血和小出血、袖带漏气、改为外科手术以及意外拔管等情况。然而，皮下气肿、位置不当和低氧血症各有1例患者出现（1.4%）。
结论
总体结果表明，无纤维支气管镜引导的经皮扩张气管切开术是有用且安全的。
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