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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 89 - 94 (6page)
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초록· 키워드
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Background: Although percutaneous dilatational tracheostomy (PDT) under bronchoscopic guidance is feasible in the intensive care unit (ICU), it requires extensive equipment and specialists. The present study evaluated the feasibility of performing PDT with a light source in the surgical ICU. Methods: The study involved a retrospective review of the outcomes of patients who underwent PDT with a light source performed by a surgery resident under the supervision of a surgical intensivist in the surgical ICU from October 2015 through September 2016. During the procedure, a light wand was inserted into the endotracheal tube after skin incision. Then, the light wand and the endotracheal tube were pulled out slightly, the passage of light through the airway was confirmed, and the relevant point was punctured. Results: Fifty patients underwent PDT with a light source. The average procedural duration was 14.0 ± 7.0 minutes. There were no procedure-associated deaths. Intraoperative complications included minor bleeding in three patients (6%) and paratracheal placement of the tracheostomy tube in one patient (2%); these were immediately resolved by the surgical intensivist. Two patients required conversion to surgical tracheostomy because of the difficulty in light wand insertion into the endotracheal tube and a very narrow trachea, respectively. Conclusions: PDT with a light source can be performed without bronchoscopy and does not require expensive equipment and specialist intervention in the surgical ICU. It can be safely performed by a surgical intensivist with experience in surgical tracheostomy.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Ciaglia P / 1985 / Elective percutaneous dilatational tracheostomy. A new simple bedside procedure: preliminary report / Chest 87:715~719
Johnson-Obaseki S / 2016 / Complication rates of open surgical versus percutaneous tracheostomy in critically ill patients / Laryngoscope 126:2459~2467
Hinerman R / 2000 / Outcome of bedside percutaneous tracheostomy with bronchoscopic guidance / Intensive Care Med 26:1850~1856
Beiderlinden M / 2002 / Complications of bronchoscopically guided percutaneous dilational tracheostomy: beyond the learning curve / Intensive Care Med 28:59~62
Freeman BD / 2001 / A prospective, randomized study comparing percutaneous with surgical tracheostomy in critically ill patients / Crit Care Med 29:926~930
Johnson-Obaseki S / 2016 / Complication rates of open surgical versus percutaneous tracheostomy in critically ill patients / Laryngoscope 126:2459~2467
Hinerman R / 2000 / Outcome of bedside percutaneous tracheostomy with bronchoscopic guidance / Intensive Care Med 26:1850~1856
Beiderlinden M / 2002 / Complications of bronchoscopically guided percutaneous dilational tracheostomy: beyond the learning curve / Intensive Care Med 28:59~62
Freeman BD / 2001 / A prospective, randomized study comparing percutaneous with surgical tracheostomy in critically ill patients / Crit Care Med 29:926~930
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