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Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope
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. Discontinui...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
National Research Institute of Tuberculosis and Lung Disease
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569499/ https://www.ncbi.nlm.nih.gov/pubmed/33101433 |
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author | Yaghoubi, Siamak Massoudi, Nilofar Fathi, Mohammad Nooraei, Navid Khezri, Marzieh Beygom Abdollahi, Sareh |
author_facet | Yaghoubi, Siamak Massoudi, Nilofar Fathi, Mohammad Nooraei, Navid Khezri, Marzieh Beygom Abdollahi, Sareh |
author_sort | Yaghoubi, Siamak |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7569499 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | National Research Institute of Tuberculosis and Lung Disease |
record_format | MEDLINE/PubMed |
spelling | pubmed-75694992020-10-22 Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope Yaghoubi, Siamak Massoudi, Nilofar Fathi, Mohammad Nooraei, Navid Khezri, Marzieh Beygom Abdollahi, Sareh Tanaffos Original Article 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. National Research Institute of Tuberculosis and Lung Disease 2020-01 /pmc/articles/PMC7569499/ /pubmed/33101433 Text en Copyright© 2020 National Research Institute of Tuberculosis and Lung Disease http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Yaghoubi, Siamak Massoudi, Nilofar Fathi, Mohammad Nooraei, Navid Khezri, Marzieh Beygom Abdollahi, Sareh Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope |
title | Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope |
title_full | Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope |
title_fullStr | Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope |
title_full_unstemmed | Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope |
title_short | Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope |
title_sort | performing percutaneous dilational tracheostomy without using fiberoptic bronchoscope |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7569499/ https://www.ncbi.nlm.nih.gov/pubmed/33101433 |
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