Revista chilena de cirugía
versión On-line ISSN 0718-4026
PEREZ B, ENRIQUE et al. Percutaneous tracheostomy in an intensive care unit. Rev Chil Cir [online]. 2011, vol.63, n.4, pp. 356-360. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262011000400004.
Background: Prolonged mechanical ventilation (PMV) is a main factor in a long stay at Intensive Care Units (ICu) in our country. The correct and prompt tracheostomy (TQT) indication has shown significant reductions in ICU stay. The classic open technique has been progressively replaced by the percutaneous TQT. Aims: To describe the experience and the results of percutaneous TQT in a tertiary center ICU. Methods: Prospective study of patients in PMV who underwent a percutaneous tracheostomy in ICU at Hospital Dr. Sótero del Rio, since January 2009 to June 2010. We analyse patient characteristics, waiting time, duration of procedure and complications. Results: The series consist of 130 PMV patients, 101 men, median age 51 (17-22) years old, more frequent diagnoses were neurological disease, cerebrovascular disease and infectious disease. The mean waiting time for the procedure was 1 (0-3) day, the operative time was 11 (3-15) minutes, complications rate was 7.6%, and the most frequent was local hemorrhage. Discussion: Percutaneous TQT technique is a feasible and safe procedure in ICU at a Tertiary Hospital, with a short waiting time and a low complication rate.
Palabras clave : Traqueostomy; percutaneous traqueostomy; Intensive Care Unit; prolonged mechanical ventilation.