Aspectos epidemiológicos de pacientes traqueostomizados em unidade de terapia intensiva adulto de um hospital de referência ao Sistema Único de Saúde em Belo Horizonte

Oliveira, Cláudio Dornas de; Peixoto, Leonardo da Cruz; Nangino, Gláucio Oliveira; Correia, Paulo César; Isoni, Camila Armond

doi:10.1590/s0103-507x2010000100009

Rev. bras. ter. intensiva

2010

DOI: 10.1590/s0103-507x2010000100009

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Aspectos epidemiológicos de pacientes traqueostomizados em unidade de terapia intensiva adulto de um hospital de referência ao Sistema Único de Saúde em Belo Horizonte

Cláudio Dornas de Oliveira

Leonardo da Cruz Peixoto

Gláucio Oliveira Nangino

et al.

Abstract: Objectives: Tracheostomy is a common procedure in intensive care unit to promote mechanical ventilation weaning. Despite tracheostomy is increasingly used there is no agreement of actual clinical practice of tracheostomy in different groups of patients in our environment. Objective of this study was to evaluate the epidemiological profile and outcomes of patients with tracheostomy at a clinicalsurgical intensive care unit and compare this profile with the current literature. Methods: Retrospective descriptive … Show more

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Cited by 2 publications

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The APACHE II measured on patients' discharge from the Intensive Care Unit in the prediction of mortality

Cardoso¹,

Chiavone²

2013

Rev. Latino-Am. Enfermagem

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the AII-OUT could predict mortality after discharge from ICU, with the observed mortality being slightly greater than that predicted, which shows good discrimination and good calibration. This system was shown to be useful for stratifying the patients at greater risk of death after discharge from ICU. This fact deserves special attention from health professionals, particularly nurses, in managing human and technological resources for this group of patients.

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The APACHE II measured on patients' discharge from the Intensive Care Unit in the prediction of mortality

Cardoso¹,

Chiavone²

2013

Rev. Latino-Am. Enfermagem

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Fiber optic bronchoscopy-assisted percutaneous tracheostomy: a decade of experience at a university hospital

Romero¹,

Cornejo²,

Tobar³

et al. 2015

Revista Brasileira De Terapia Intensiva

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ObjectiveTo evaluate the efficacy and safety of percutaneous tracheostomy by means of single-step dilation with fiber optic bronchoscopy assistance in critical care patients under mechanical ventilation.MethodsBetween the years 2004 and 2014, 512 patients with indication of tracheostomy according to clinical criteria, were prospectively and consecutively included in our study. One-third of them were high-risk patients. Demographic variables, APACHE II score, and days on mechanical ventilation prior to percutaneous tracheostomy were recorded. The efficacy of the procedure was evaluated according to an execution success rate and based on the necessity of switching to an open surgical technique. Safety was evaluated according to post-operative and operative complication rates.ResultsThe mean age of the group was 64 ± 18 years (203 women and 309 males). The mean APACHE II score was 21 ± 3. Patients remained an average of 11 ± 3 days on mechanical ventilation before percutaneous tracheostomy was performed. All procedures were successfully completed without the need to switch to an open surgical technique. Eighteen patients (3.5%) presented procedure complications. Five patients experienced transient desaturation, 4 presented low blood pressure related to sedation, and 9 presented minor bleeding, but none required a transfusion. No serious complications or deaths associated with the procedure were recorded. Eleven patients (2.1%) presented post-operative complications. Seven presented minor and transitory bleeding of the percutaneous tracheostomy stoma, 2 suffered displacement of the tracheostomy cannula, and 2 developed a superficial infection of the stoma.ConclusionPercutaneous tracheostomy using the single-step dilation technique with fiber optic bronchoscopy assistance seems to be effective and safe in critically ill patients under mechanical ventilation when performed by experienced intensive care specialists using a standardized procedure.

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Aspectos epidemiológicos de pacientes traqueostomizados em unidade de terapia intensiva adulto de um hospital de referência ao Sistema Único de Saúde em Belo Horizonte

Cited by 2 publications

References 27 publications

The APACHE II measured on patients' discharge from the Intensive Care Unit in the prediction of mortality

The APACHE II measured on patients' discharge from the Intensive Care Unit in the prediction of mortality

Fiber optic bronchoscopy-assisted percutaneous tracheostomy: a decade of experience at a university hospital

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