Pogue M D, Pecaro B C
Department of Oral and Maxillofacial Surgery, Northwestern University Medical Center, Chicago, IL, USA.
J Oral Maxillofac Surg. 1995 Aug;53(8):895-7. doi: 10.1016/0278-2391(95)90276-7.
Because transportation of a critically ill patient to the operating room can be hazardous and costly, a study was undertaken to determine the safety and efficiency of performing a tracheostomy at bedside in the intensive care unit.
A 2-year retrospective study (1988 to 1990) was done of all tracheostomies performed (102) at bedside in the intensive care unit at Northwestern University Medical Center. Anesthetic, intensive care, and operative reports were evaluated for intraoperative and immediate (48 hours) postoperative anesthetic and surgical complications.
The investigation revealed an average anesthetic time of 41 minutes (range, 20-75 minutes), and an average operative time of 29 minutes (range, 15 to 60 minutes). A perioperative morbidity rate of 5.5% included three anesthetic and three surgical complications, without mortality.
This study confirms that tracheostomy performed in the intensive care unit can be a safe, economical, and time-efficient procedure.
由于将重症患者转运至手术室可能存在风险且成本高昂，因此开展了一项研究，以确定在重症监护病房床边进行气管切开术的安全性和效率。
对西北大学医学中心重症监护病房在床边进行的所有气管切开术（共102例）进行了一项为期两年的回顾性研究（1988年至1990年）。对麻醉、重症监护和手术报告进行评估，以了解术中及术后即刻（48小时内）的麻醉和手术并发症情况。
调查显示平均麻醉时间为41分钟（范围20 - 75分钟），平均手术时间为29分钟（范围15至60分钟）。围手术期发病率为5.5%，包括3例麻醉并发症和3例手术并发症，无死亡病例。
本研究证实，在重症监护病房进行气管切开术是一种安全、经济且高效的手术。
