Grigss forseps dilatasyon tekniği ile perkütan trakeostomi: 60 yoğun bakım hastasının retrospektif analizi

Çanakçı, Ebru; Şahin, Ayşegül Elbir; Kılıç, Korhan

doi:10.19161/etd.344223

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…A study conducted in the United States reported an ICU mortality rate of 12% (26). Studies conducted in tertiary ICUs in our country have reported an ICU mortality rate ranging between 38-43% (23,24,25). Uysal et al ( 23) attributed the higher-thanexpected ICU mortality rate to the long ED wait times and the admission of patients who would not benefit from the ICU (23).…”

Section: Discussionmentioning

confidence: 98%

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Retrospective Evaluation of Patients Admitted to Emergency Critical Care Unit

Ayvalı¹,

Kocaşaban²,

Günaydın³

2023

hamidiyemedj

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Background: We aim to analyze the patients hospitalized during 2016-2018 in the "emergency critical care unit" (ECCU) of our institution, which has emerged in recent years in our country and is primarily run by emergency medicine specialists operating within the department of emergency medicine and representation of a new understanding in these aspects. Materials and Methods:Our study was carried out retrospectively on 1.658 patients hospitalized in the secondary step ECCU operating within the department of emergency medicine between 01.01.2016 and 31.12.2018. The epidemiological and medical data of the patients were obtained from the hospital registration system records. Factors affecting mortality and discharge were investigated.Results: A total of 1.658 inpatients in the ECCU were included in our study. The median age of the patients was 71 years, and 43.8% were male. It was determined that 46.8% of the patients were discharged from ECCU, 34.3% were transferred to other services or intensive care units, and 18.9% exitus. There was no correlation between the outcome of the patients and age and gender (p>0.05). The highest rate of discharge was in patients hospitalized due to drug intoxication (p<0.05), while the highest rate of deceased patients was gastrointestinal system bleeding (p<0.05). Following the literature, the Apache-II score was highest in deceased patients and lowest in discharged patients (p<0.05). In our study, it was determined that 37% of the patients underwent various interventional procedures. A higher rate of death was found in patients who had many attempts and underwent tracheostomy and central catheterization (p<0.05). Conclusion:ECCUs are managed by emergency medicine specialists who provide intensive care support, especially for critically ill patients. As we concluded in our study, many patients received the critical care they needed without waiting for the intensive care unit in the emergency room, and about half of them were discharged.

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Section: Discussionmentioning

confidence: 98%

“…These interventions include CVC insertion, arterial access establishment, MV ligation, and tracheostomy. The study of Çanakçı et al (24) reported that 91.66% of patients who underwent tracheostomy died. A study by Dur et al (25) indicated that tracheostomy was performed in 6.1% of patients and 62.5% of these patients died.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Evaluation of Patients Admitted to Emergency Critical Care Unit

Ayvalı¹,

Kocaşaban²,

Günaydın³

2023

hamidiyemedj

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“…The most common indication for tracheostomy in intensive care patients is associated with prolonged mechanical ventilation as a result of respiratory or neuromuscular diseases. (7) In the study of Gucyetmez et al, the most common indications for opening a tracheostomy are the need for prolonged mechanical ventilation and prolonged coma. (8) Yeşiler and In a similar study conducted by his friends, it was stated that the most common indication for tracheotomy opening was 85% prolonged need for mechanical ventilation and prolonged coma.…”

Section: Discussionmentioning

confidence: 99%

Our experiences of percutaneous tracheostomy in intensive care unit

Soylu¹,

Yılmaz²

2022

Kastamonu Med J

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Aim We aimed to evaluate the indications for tracheostomy and early complications in patients who underwent percutaneous tracheostomy with the Griggs method in our clinic. Material and Method This study is retrospective and observational. Demographic data, hospitalization diagnoses, days of opening tracheostomy, days of intensive care hospitalization, indications for tracheosotomy and early complications of tracheostomy were recorded and evaluated in a total of 78 patients between the ages of 23-93 who underwent percutaneous tracheostomy with the Griggs method between January 2021 and September 2022. Results A total of 78 patients were included in the study. Of the patients, 42 (54%) were female and 36 (46%) were male. In the patients included in the study, the earliest tracheostomy day was the 7th day of intubation and the latest tracheostomy day was the 32nd day of intubation. The mean day in terms of tracheostomy day was 23rd day of intubation. In terms of early complications, bleeding was observed in 5 (6.5%) patients, tracheoesophageal fistula in 1 (1.3%) patient, and pneumothorax in 1 (1.3%) patient. No complications were encountered in 71 (90.9%) patients.

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“…Trakeostomi işlemi erken önerilse bile hasta yakınlarından onam belgesi alınana kadar geçen süre trakeostomi açılma süresini belirlemektedir. Bu nedenle trakeostomi açılma süreleri yapılan diğer çalışmalara göre biraz daha uzundur (18)(19)(20) .…”

Section: Tablo II Erken Ve Geç Komplikasyon Gelişen Hasta Sayılarıunclassified

Comparison Of Percutaneous Tracheostomy Process In General Intensive Care Units With Or Without Fiberoptic Bronchocopy Guidance

Özçelik¹,

Yucel²

2020

JARSS

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Objective: Percutaneous dilatational tracheostomy (PDT) is a routine procedure in the intensive care unit. PDT can be performed under the guidance of fiberoptic bronchoscopy (FOB), that it increases safety and causes less complications and tissue damage. The aim of this study was to determine whether the FOB-guided PDT decreases the complication rate and improves safety. Method: PDT cases performed with or without the guidance of FOB by Griggs method between January 2017 and January 2018 were evaluated retrospectively. Information about the age, gender, hospitalization in the intensive care unit and PDT indications, the time (days) until the opening of the tracheostomy and total procedure time, mortality were obtained from patients' files. Complications observed in the first 24 hours of later were evaluated as early and late complications. Minor bleeding (< 10 mL), hypotension, arrhythmia, hypercapnia, hypoxia were considered as minor complications. Major hemorrhage, pneumothorax, hemothorax, false passage, subcutaneous emphysema were defined as major complications. Results: A total of 103 patients were included in the study. PDT procedure was performed with (n=44: 42.7%) and without (n=59: 57.3%) the guidance of FOB. During the procedure, SaO₂ values were found as 75% (40%,100%) and 98% (93%, 100%) in PDT procedures performed with and without the aid of FOB, respectively. The mean total duration PDT procedure performed with and without the guidance of FOB was 25.2±6 min, and 20±6 min, respectively. Fourteen patients (31.8%) developed early complications and 6 patients (13%) major complications in non-FOB group. The rate of early complications in the FOB-PDT group was 13.5% (8 patients). One patient (1.7%) developed major bleeding requiring surgical intervention. Tracheoesophageal fistula was observed in one patient (1.7%) 270 days after tracheostomy in the FOB-PDT group. Conclusion:We think that it is safer to perform PDT with the aid of FOB. Although the duration of FOB-guided PDT procedure was longer, we found that the complications of the procedure were reduced.

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Grigss forseps dilatasyon tekniği ile perkütan trakeostomi: 60 yoğun bakım hastasının retrospektif analizi

Cited by 6 publications

References 11 publications

Retrospective Evaluation of Patients Admitted to Emergency Critical Care Unit

Retrospective Evaluation of Patients Admitted to Emergency Critical Care Unit

Our experiences of percutaneous tracheostomy in intensive care unit

Comparison Of Percutaneous Tracheostomy Process In General Intensive Care Units With Or Without Fiberoptic Bronchocopy Guidance

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