RESUMO
UNLABELLED: Percutaneous dilation Tracheotomy (PDT) is becoming a popular alternative to surgical tracheotomy. In our hospital, we recently adopted the use of the PDT in intensive care unit patients. OBJECTIVE: The objective [corrected] of this investigation is to characterize and quantify the rate of complications for PDT. MATERIALS AND METHODS: A prospective study of 60 PDT performed at different intesive care units, betweem September 2002 to July 2003. RESULTS: The intraoperative time for PDT was 8 minutes. Complications included 6 cases of mild intraoperative hemorrhage, 1 case of moderate intraoperative hemorrhage, 4 cases of mild postoperative hemorrhage and 1 case of subcutaneous emphysema. CONCLUSIONS: PDT is a good alternative to surgical tracheotomy and should be added to the otolaryngologists armamentarium of surgical airway procedures.
Assuntos
Traqueotomia/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Dilatação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos ProspectivosRESUMO
La traqueotomía percutánea por dilatación (TPD) viene siendo una popular alternativa a la traqueotomía quirúrgica. En nuestro hospital ha sido integrada recientemente en la Unidad de Cuidados Intesivos. Objetivo: El objetivo de nuestro estudio es el de analizar las complicaciones de la TPD. Material y métodos: Realizamos un estudio prospectivo de 60 TPD, realizadas en diferentes unidades de cuidados intensivos, entre septiembre de 2002 y julio de 2003. Resultados: El tiempo intraoperatorio parala TPD fue de unos 8 minutos. Hubo 7 casos de hemorragia intraoperatoria, 6 leves y uno moderado, 4 casos de hemorragia postoperatoria y un caso de enfisema subcutáneo. Conclusiones: La TPD es una buena alternativa a la traqueotomía quirúrgica que debería añadir el otorrinolaringólogo a su repertorio quirúrgico de vía aérea (AU)
Percutaneous dilation Tracheotomy (PDT) is becoming a popular alternative to surgical tracheotomy. In our hospital, we recently adopted the use of the PDT in intensive care unit patients. OBJECTIVE: The objective [corrected] of this investigation is to characterize and quantify the rate of complications for PDT. MATERIALS AND METHODS: A prospective study of 60 PDT performed at different intesive care units, betweem September 2002 to July 2003. RESULTS: The intraoperative time for PDT was 8 minutes. Complications included 6 cases of mild intraoperative hemorrhage, 1 case of moderate intraoperative hemorrhage, 4 cases of mild postoperative hemorrhage and 1 case of subcutaneous emphysema. CONCLUSIONS: PDT is a good alternative to surgical tracheotomy and should be added to the otolaryngologists armamentarium of surgical airway procedures (AU)
