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

Averianov, D.A.; Shatalov, V.I.; Котов, Е.Н.; Педан, Е.А.; Schegolev, A.V.

doi:10.21292/2078-5658-2016-13-4-48-52

MAaR

2016

DOI: 10.21292/2078-5658-2016-13-4-48-52

|View full text |Cite

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

D.A. Averianov¹,

V.I. Shatalov²,

Е.Н. Котов³

et al.

Abstract: 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 прив… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2021

2024

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 3 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

Hemorrhagic Risks of Percutaneous Dilated Tracheotomy in Thrombocytopenia

Dolgov

Gerasin

Щербаков

et al. 2021

Vestn. anesteziol. reanimatol.

View full text Add to dashboard Cite

The objective: to assess the incidence and influence of platelets level on the hemorrhagic complications during percutaneous dilated tracheotomy (PDT) in patients with thrombocytopenia.Subjects and Methods. The study included 85 consecutive patients with varying degrees of thrombocytopenia at the stages of hematopoietic stem cell transplantation. The control group included 56 patients who underwent classical tracheotomy. The study group included 29 patients who underwent PDT (Griggs method). The operations were performed for prolonged artificial pulmonary ventilation. When the platelets level was below 20 × 109/L, platelet concentrate transfusion was performed before the operation.Results. The incidence of hemorrhagic complications in patients with thrombocytopenia during PDT was 13.8% (95% CI 9.13–18.45%). In open tracheotomy, the bleeding rate was 3.8% (95% CI 2.65–4.49%). These results are comparable to the incidence of hemorrhagic complications in patients with normal platelet counts. The influence of the platelet level on the presence of hemorrhagic complications in both groups was not established.Conclusion. Thrombocytopenia is not a contraindication to performing PDT. However, platelet concentrate transfusion should be performed in patients with platelet counts less than 20 × 109/L. An experienced team of anesthesiologists and endoscopists can reduce the incidence of other complications.

show abstract

Hemorrhagic Risks of Percutaneous Dilated Tracheotomy in Thrombocytopenia

Dolgov

Gerasin

Щербаков

et al. 2021

Vestn. anesteziol. reanimatol.

View full text Add to dashboard Cite

show abstract

Current possibilities of performing dilated tracheostomy

Porkhanov,

Straub,

Bogdanov

et al. 2024

ВХ

View full text Add to dashboard Cite

Objective. Tracheostomy is one of the most frequently performed surgical procedures in seriously ill patients in the intensive care unit and in intensive care units who require long-term mechanical ventilation. Protecting the larynx and upper airway from the complications of prolonged intubation is an important reason for tracheostomy and airway management. Early tracheostomy can reduce the dosage of sedatives used, contributes to a gradual decrease in artificial ventilation support. However, with the development of minimally invasive techniques for performing tracheostomy, the medical community raises the question of the need to choose the optimal surgical method. First, it depends on the timing of its application, the tracheostomy, the duration of the transition to independent breathing, and the behavior of patients after the procedure. The use of dilation tracheostomy can improve the aesthetic outcome of patients.Purpose of a study: Comparative evaluation of the effectiveness of performing tracheostomy using traditional and modified technology at different times of mechanical ventilation in seriously ill surgical and therapeutic patients in the intensive care unit.Material and methods. The study was based on an analysis of the results of treatment of 331 patients (212 men (64 %) and 119 women (36 %)) aged from 18 to 92 years old (average age (55,7 ± 5,2) years), who were in the intensive care unit of the Regional Clinical Hospital No. 1 named after Professor S.V. Ochapovsky (Krasnodar) for 2020–2022, in which a tracheostomy was performed to prevent cicatricial complications. The patients were divided into 2 groups. The first group included 219 patients from the intensive care unit who underwent tracheostomy using traditional technology, and the second group (112 patients) included patients who underwent tracheostomy using a modified technology.Results. A new modified technology for performing tracheostomy in seriously ill surgical and therapeutic patients in the intensive care unit has been improved and developed. Objectively substantiated and noted the advantages and disadvantages of the modified tracheostomy technology from the hemodynamic, gas transport positions, possible complications and long-term results.Conclusion. The use of a new modified technology of tracheostomy imposition allows preventively protecting patients from the development of complications in the form of profuse bleeding in comorbid coagulopathy and against the background of the use of therapeutic dosages of anticoagulation therapy, reducing the risk of decanulation, improving functional and cosmetic results of treatment due to less skin trauma.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

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

Cited by 2 publications

References 3 publications

Hemorrhagic Risks of Percutaneous Dilated Tracheotomy in Thrombocytopenia

Hemorrhagic Risks of Percutaneous Dilated Tracheotomy in Thrombocytopenia

Current possibilities of performing dilated tracheostomy

Contact Info

Product

Resources

About