Fiberoptic bronchoscopic guidance in percutaneous dilational tracheotomy

Hassanin, Essam G.; Elgnady, Anwar A.; El-Hoshy, Mona S.; Beshey, Bassem Nashaat; Abdelhady, Ahmed M.

doi:10.1016/j.ejcdt.2013.07.007

Cited by 11 publications

(9 citation statements)

References 46 publications

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“…Regarding the arterial carbon dioxide tension, Group I did not show a statistically significant increase in PaCO2. On the contrary, groups II showed statistically significant elevation of PaCO2 after tube insertion comparing it to its level before start of dilatation [23,24]. The overall number of patients who suffered from hypercapnia were 6 patients in group II versus no patients in group I probably due to hypoventilation associated with the bronchoscopy procedure.…”

Section: Journal Of Anesthesia and Intensive Care Medicinementioning

confidence: 81%

“…No case suffered from hypoxia (PaO2<60mmHg or SO2<92%). Similarly, Hassanin et al [23] monitored SpO2, there was significant decrease during the procedure guided by bronchoscopy but again when comparing it to traditional landmarks technique there was no statistically significant difference between two groups. On the contrary, Ravi and Vijay [22] reported 4 patients out of 36 had bronchoscopic guided PDT suffered from temporary desaturation comparing it to nil patients in the ultrasound guided group which was statistically significant.…”

Section: Journal Of Anesthesia and Intensive Care Medicinementioning

confidence: 86%

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Ultrasound Guidance and Flexible Fiberoptic Bronchoscopy Guidance in Percutaneous Dilatational Tracheostomy

Elghotmy¹

2019

JAICM

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Objective: to compare between the ultrasound guidance and flexible fiberoptic bronchoscopy guidance in percutaneous dilatational tracheostomy. Subjects and Methods:The present study was carried out on 30 mechanically ventilated patients, admitted to different intensive care units of the Benha University Hospitals for whom elective tracheostomy was indicated. Patients were randomized into two groups: Group I: Included 15 patients for whom ultrasound guided percutaneous dilatational tracheostomy was done. Group II: Included 15 patients for whom fiberoptic bronchoscopy guided percutaneous dilatational tracheostomy was done.Results: After 5 and 10 minutes from the onset of the procedure mean arterial blood pressure increased significantly in patients of group II where p values were 0.044 and 0.025. There was no significant difference in arterial carbon dioxide tension before the procedure (p=0.463) while it was significantly higher in group II after the procedure (p<0.001). Regarding immediate complications, no patients in both groups suffered from hypoxia. patients from group II suffered from hypercapnia which was significantly higher than group I in which no patients suffered from hypercapnia (p=0.017). Conclusions:Percutaneous dilatational tracheostomy is a bedside safe procedure with low rate of complications. Bronchoscopic guidance during PDT offers the best vision decreasing the need for multiple punctures and the risk of misdirection or false passage of the tube. Ultrasound is a promising less invasive method to guide the percutaneous tracheostomy procedure. Doppler examination of the neck can help decreasing the rate of bleeding during the procedure.

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Section: Journal Of Anesthesia and Intensive Care Medicinementioning

confidence: 81%

Section: Journal Of Anesthesia and Intensive Care Medicinementioning

confidence: 86%

Ultrasound Guidance and Flexible Fiberoptic Bronchoscopy Guidance in Percutaneous Dilatational Tracheostomy

Elghotmy¹

2019

JAICM

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“…[2] Studies with PDT performed with endoscopic guidance have reported lower complication rates than studies performed with “blind” PDT. [3]…”

Section: Discussionmentioning

confidence: 99%

GuideWire migrating into murphy's eye of endotracheal tube: An unusual complication of percutaneous dilational tracheostomy

2017

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Percutaneous dilational tracheostomy (PDT) is a frequently carried out bedside procedure in a critical care setting. It is usually performed under fiberoptic endoscopic guidance. Studies with PDT performed with endoscopic guidance have reported lower complication rates than studies performed with “blind” PDT. We report a case where PDT was performed without endoscopic assistance and the j-shaped guidewire got stuck in the Murphy's eye of endotracheal tube causing difficulty in railroading of tracheostomy tube (TT).

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“…Несмотря на общий успех, обучение ПДТ штатных сотрудников характеризовалось рядом особенностей. Многие из них были связаны с использовавшейся во время операции непрерывной фибробронхоскопией, являющейся основой безопасности пациента во время манипуляции [8,9]. Первой особенностью можно считать отсутствие в ОРИТ специальных переходников с мембраной для бронхоскопа (данный недостаток был сразу устранен).…”

Section: результаты и обсуждениеunclassified

Specific Features of Training in Percutaneous Dilatation Tracheostomy in the Intesive Care Department

Averianov¹,

Shatalov²,

Котов³

et al. 2016

MAaR

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В статье представлен анализ особенностей процесса обучения методике перкутанной дилатационной трахеостомии (ПДТ) специалистов в отделении реанимации и интенсивной терапии. Данный процесс был разбит на три этапа (теоретический, практическая демонстрация, непосредственное выполнение манипуляции штатным персоналом отделения под контролем опытных врачей). Общее количество процедур, потребовавшихся двум штатным врачам для освоения ПДТ, составило 20 и сопровождалось рядом особенностей, которые, тем не менее, не привели к развитию каких-либо значимых интра-и ранних послеоперационных осложнений. Это свидетельствует об успешности использованной трехэтапной методики обучения на рабочем месте. Ключевые слова: перкутанная дилатационная трахеостомия, процесс обучение, проходимость дыхательных путей.

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Fiberoptic bronchoscopic guidance in percutaneous dilational tracheotomy

Cited by 11 publications

References 46 publications

Ultrasound Guidance and Flexible Fiberoptic Bronchoscopy Guidance in Percutaneous Dilatational Tracheostomy

Ultrasound Guidance and Flexible Fiberoptic Bronchoscopy Guidance in Percutaneous Dilatational Tracheostomy

GuideWire migrating into murphy's eye of endotracheal tube: An unusual complication of percutaneous dilational tracheostomy

Specific Features of Training in Percutaneous Dilatation Tracheostomy in the Intesive Care Department

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