Retrospective Analysis of Patients with Percutaneous Dilatational Tracheostomy in Intensive Care Unit

Abstract

INTRODUCTION: Tracheostomy is a method frequently applied in intensive care units with the indication of prolonged intubation. [1] Our aim in this study is to retrospectively analyze the percutaneous dilatational tracheostomy (PDT) cases performed in our clinic within 1 year. METHODS: It's analyzed the patients who underwent PDT in Sakarya Training and Research Hospital, Anesthesia Intensive Care Unit between January 2019 and December 2019. Each patient's age, gender, diagnosis of intensive care admission, use of anticoagulant drugs, and APACHE II score were recorded. Then, the day of tracheostomy procedure, complications, total intensive care unit stay, and the patient's discharge from the intensive care unit were evaluated. RESULTS: A total of 79 patients were found to have undergone PDT. It was observed that the mean age of the patients was 66.56±17.83 and 48 (60.8%) were male. It was observed that 25(31.6%) of the patients were admitted to the intensive care unit with the diagnosis of postresuscitation syndrome, 17 (21.5%) cerebrovascular accident, and 15(19%) pneumonia. The mean APACHE II scores of the patients were 24.1±6.2, and 16(20.3%) patients were discharged. The median PDT procedure day was 19.5[12-30]. It was determined that only 2 of the patients had minor and 1 major and 3 (3.9%) patients did not develop any other complications apart from the bleeding related complication. DISCUSSION AND CONCLUSION: In our study, although 66 (83.6%) of the patients who underwent PDT procedure received anticoagulant-antiaggregant treatment, postoperative bleeding rates were observed to be quite low in accordance with the literature.

Keywords

• entübasyon
• perkütan trakeostomi
• yoğun bakım
• intubation
• percutaneous tracheostomy
• intensive care