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Comparative study between percutaneous dilatation tracheostomy and surgical tracheostomy
المؤلفون المشاركون
al-Dik, Abir M.
Allam, Muhammad G. I. M.
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 4 (31 ديسمبر/كانون الأول 2015)، ص ص. 505-510، 6ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-12-31
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Introduction Tracheostomy is one of the most common procedures performed in the ICU.
Tracheostomy decreases the dead space and the effort of breathing, and facilitates suction and chest drainage.
The easy placement of the tracheostomy tube makes it the only acceptable method for home ventilation.
Tracheostomy can be performed either through percutaneous dilatation using the Seldinger technique in the ICU or surgically by an ENT surgeon in the operating room (OR).
The approach for tracheostomy, whether percutaneous or surgical, remains a point of debate.
Aim This an observational (prospective cohort) study to compare percutaneous dilatation tracheostomy (PDT) with surgical tracheostomy (ST) with regard to both perioperative and late postoperative complications.
Patients and methods A total of 200 patients admitted to King Abdulaziz Specialist Hospital between February 2010 and December 2013 were allocated to two groups: group A included 100 patients who had undergone PDT, and group B included 100 patients who had undergone ST.
Both perioperative and late postoperative complications were recorded and compared between the two groups.
Changes in blood gases, atelectasis, emphysema, pneumothorax, failure to cannulate the trachea or false passage, tracheal ring fractures, wrong site, and tracheal wall injury were considered perioperative complications, whereas bleeding, infection, stenosis, and tracheoarterial and tracheoesophageal fi stula were considered late postoperative complications.
Results PDT resulted in a signifi cantly higher perioperative complication rate as regards blood gas changes, false passage, and tracheal wall injury, but there was no signifi cant difference with regard to atelectasis, tracheal ring fractures, wrong site, emphysema, and pneumothorax.
However, PDT resulted in a signifi cantly lower postoperative complication rate as regards bleeding and infection, but no statistically signifi cant difference was found in the incidence of stenosis.
Tracheoarterial and tracheoesophageal fi stula were not reported in either PDT or ST.
Conclusion PDT is a safe and reliable method for tracheostomy in all ICU cases and is associated with lower incidence of postoperative complications in terms of bleeding and stomal infection.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Allam, Muhammad G. I. M.& al-Dik, Abir M.. 2015. Comparative study between percutaneous dilatation tracheostomy and surgical tracheostomy. Ain Shams Journal of Anesthesiology،Vol. 8, no. 4, pp.505-510.
https://search.emarefa.net/detail/BIM-655420
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Allam, Muhammad G. I. M.& al-Dik, Abir M.. Comparative study between percutaneous dilatation tracheostomy and surgical tracheostomy. Ain Shams Journal of Anesthesiology Vol. 8, no. 4 (Oct. / Dec. 2015), pp.505-510.
https://search.emarefa.net/detail/BIM-655420
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Allam, Muhammad G. I. M.& al-Dik, Abir M.. Comparative study between percutaneous dilatation tracheostomy and surgical tracheostomy. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 4, pp.505-510.
https://search.emarefa.net/detail/BIM-655420
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 510
رقم السجل
BIM-655420
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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