Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland

SummaryThe safety of percutaneous tracheostomy in 73 obese patients (body mass index ‡ 27.5 kg.m )2 ) in a cohort of 474 adults was studied. Four percutaneous techniques were employed (percutaneous dilational tracheostomy, n = 48; Ciaglia Blue Rhino, n = 157; guide wire dilating forceps, n = 62, translaryngeal tracheostomy, n = 207). The overall complication rate was 43.8% (n = 32) in the obese group compared to 18.2% (n = 73) in the control group (p < 0.001). Seven (9.6%) obese patients suffered life-threatening complications compared to three non-obese patients (0.7%, p < 0.001). Obese patients had a 2.7-fold increased risk for peri-operative complications, and a 4.9-fold increased risk for serious complications. The data suggest that percutaneous tracheostomy in obese patients is associated with a considerably increased risk for peri-operative complications, especially for serious adverse events.

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“…According to recent postal surveys, percutaneous tracheostomy techniques are becoming more frequently used in ICUs [16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Peri‐operative complications during percutaneous tracheostomy in obese patients

et al. 2004

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“…However, most studies do not mention the request for this test prior to the procedure. (4,(7)(8)(9)11) Bleeding and its control constitute a general concern during the procedure. Since bleeding is difficult to quantify, it is typically classified visually, which precludes uniform analysis.…”

Section: Methodsmentioning

confidence: 99%

Traqueostomia na UTI: vale a pena realizá-la?

et al. 2007

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Objective: To determine the feasibility of performing tracheostomy in the intensive care unit (ICU) environment and to assess procedurerelated complications and mortality. Methods: The medical records of the 73 patients submitted to tracheostomy in the ICU of the Federal University of São Paulo Hospital São Paulo between January and November of 2003 were evaluated retrospectively. All operations were performed by surgical residents, under the supervision of a thoracic surgeon, using the open technique standardized at the facility. Results: The mean age of the patients was 55.2 years. Of the 73 patients evaluated, 47 (64.4%) were male and 26 (35.6%) were female. The most common indication was prolonged orotracheal intubation (76.7%). There was no procedure-related mortality, and, in all patients, the procedure was successfully performed in the ICU. Early complications occurred in 2 patients (2.7%), who presented increased local bleeding, which was controlled using compression. The late complication was infection at the incision site, which occurred in 2 patients (2.7%) and was treated by applying local dressings, without further clinical repercussions. Conclusions: Based on the results of our analysis, which are comparable to those found in the literature regarding tracheostomy performed in the operating room, we concluded that tracheostomy in the ICU is feasible and presents a low rate of complications, even when performed in critically ill patients and by surgeons in training. Therefore, in our view, it is possible to state that performing tracheostomy in the ICU is worthwhile.

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“…In this study, most of Tracheostomy techniques were performed in the second week of confinement with the frequency of 60%. In most of the samples, 69% of Tracheostomy was performed through bypass and 57% in the form of percutaneous [19].…”

Section: Journal Of Infectious Diseases and Medicinementioning

confidence: 99%

The Effect of Educational Program on Status Care in Patients with Tracheostomy and Families’ Anxiety After Discharge

Shiva¹,

Beheshte²,

Maria³

2017

J Infect Dis Med

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Introduction: Diseases and their pertained treatments are of the major cases led to suffering from anxiety. Anxiety, in fact, is an informing process and influences the quality of life of patients and their families and endangers their improvement in case of being continued. Tracheostomy is one of the methods creating artificial air passage and it will be superior over other techniques and performed for a long time in case of needing the artificial air passage. Caring patients with Tracheostomy is very important and stressful; the anxiety of families can deeply influence their ability in decision making and causes the decrease of care skills and their performance in caring patients. Considering the importance of the issue, the purpose of the present study has been to evaluate the changes resulted by the components of educational program provided for patients' families to improve their performance and decrease their anxiety after discharge in 2012-2013.

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Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland

Abstract: Despite its frequency, tracheostomy in Swiss ICUs is far from being standardized with regard to indication, timing and choice of technique.

Cited by 123 publications

References 32 publications

Peri‐operative complications during percutaneous tracheostomy in obese patients

Peri‐operative complications during percutaneous tracheostomy in obese patients

Traqueostomia na UTI: vale a pena realizá-la?

The Effect of Educational Program on Status Care in Patients with Tracheostomy and Families’ Anxiety After Discharge

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