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Critical care Bronchoscopy Artificial respiration a b s t r a c t Background: The development of percutaneous dilatational tracheostomy techniques (PDT) has facilitated the procedure in Intensive Care Units (ICU).Objective: To describe the early intra and post-operative complications in ICU patients requiring percutaneous dilatational tracheostomy using the Ciaglia Blue Rhino technique, without fiber optic bronchoscopy. Patients and methods:We collected data from eighty ICU patients during three years. The demographic variables were recorded, in addition to severity, number of days in mechanical ventilation prior to the procedure and intraoperative as well as early postoperative complications.Results: Eighty patients were included, with the mean age of 61.5 (15-89) years old (29 females). The mean APACHE II score was 17.9. In average, the patients required 11.6 days of mechanical ventilation prior to the PDT. 11.6% had intraoperative complications and 9.1% experienced early postoperative complications. In two patients the endotracheal tube was accidentally punctured and three patients had self-limiting bleeding at the tracheostomy site. None of the complications was life threatening to the patients.Conclusions: PDT using the Ciaglia Blue Rhino technique, without fiber optic bronchoscope is a procedure with low incidence of complications. r e v c o l o m b a n e s t e s i o l . 2 0 1 3;4 1(3):184-189Resultados: Se incluyeron 80 pacientes con una edad media de 61,5 (15-89) años (29 mujeres).La media de puntuación APACHE II fue 17,9. Los pacientes requirieron en promedio 11,6 días de ventilación mecánica antes de la TPD. El 11,6% presentó complicaciones intraoperatorias y el 9,1% complicaciones postoperatorias tempranas. En 2 pacientes se puncionó accidentalmente el tubo endotraqueal y 3 pacientes presentaron sangrado autolimitado del sitio de traqueostomía. Ninguna de las complicaciones representó un riesgo vital para los pacientes.Conclusiones: La TPD mediante la técnica Ciaglia Blue Rhino sin la asistencia de fibrobroncoscopio es un procedimiento con baja incidencia de complicaciones.

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