Abstract
Objectives: In our department, we routinely use percutaneous dilation tracheotomy (PDT) in select intensive care unit (ICU) patients requiring prolonged intubation and mechanical ventilation. We present our experience with this technique and discuss the pros and cons of PDT in the intensive care setting. Study Design and Setting: We conducted a retrospective study of consecutive PDTs performed in our institution between 2002 and 2004. Demographic information and procedural and postoperative complications were noted. Results: Two hundred seventy-four PDTs were performed on intensive care unit patients during this time period. Complications included five cases of excessive intraoperative bleeding (1.8%), one postoperative hemorrhage (0.3%), one tracheoesophageal fistula (0.3%), one pneumothorax (0.3%), and four accidental decannulations (1.4%). No PDT-associated deaths occurred. Conclusions: PDT is advantageous for the patient as it is performed at bedside in the ICU. It is our conclusion that this technique is suitable for many, but not all, critical care patients.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 938-941 |
| Number of pages | 4 |
| Journal | Otolaryngology - Head and Neck Surgery |
| Volume | 136 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2007 |
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All Science Journal Classification (ASJC) codes
- Otorhinolaryngology
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Percutaneous dilation tracheotomy in intensive care unit patients. / Bhatti, Nasir; Tatlipinar, Arzu; Mirski, Marek; Koch, Wayne M.; Goldenberg, David.
In: Otolaryngology - Head and Neck Surgery, Vol. 136, No. 6, 01.06.2007, p. 938-941.Research output: Contribution to journal › Article
TY - JOUR
T1 - Percutaneous dilation tracheotomy in intensive care unit patients
AU - Bhatti, Nasir
AU - Tatlipinar, Arzu
AU - Mirski, Marek
AU - Koch, Wayne M.
AU - Goldenberg, David
PY - 2007/6/1
Y1 - 2007/6/1
N2 - Objectives: In our department, we routinely use percutaneous dilation tracheotomy (PDT) in select intensive care unit (ICU) patients requiring prolonged intubation and mechanical ventilation. We present our experience with this technique and discuss the pros and cons of PDT in the intensive care setting. Study Design and Setting: We conducted a retrospective study of consecutive PDTs performed in our institution between 2002 and 2004. Demographic information and procedural and postoperative complications were noted. Results: Two hundred seventy-four PDTs were performed on intensive care unit patients during this time period. Complications included five cases of excessive intraoperative bleeding (1.8%), one postoperative hemorrhage (0.3%), one tracheoesophageal fistula (0.3%), one pneumothorax (0.3%), and four accidental decannulations (1.4%). No PDT-associated deaths occurred. Conclusions: PDT is advantageous for the patient as it is performed at bedside in the ICU. It is our conclusion that this technique is suitable for many, but not all, critical care patients.
AB - Objectives: In our department, we routinely use percutaneous dilation tracheotomy (PDT) in select intensive care unit (ICU) patients requiring prolonged intubation and mechanical ventilation. We present our experience with this technique and discuss the pros and cons of PDT in the intensive care setting. Study Design and Setting: We conducted a retrospective study of consecutive PDTs performed in our institution between 2002 and 2004. Demographic information and procedural and postoperative complications were noted. Results: Two hundred seventy-four PDTs were performed on intensive care unit patients during this time period. Complications included five cases of excessive intraoperative bleeding (1.8%), one postoperative hemorrhage (0.3%), one tracheoesophageal fistula (0.3%), one pneumothorax (0.3%), and four accidental decannulations (1.4%). No PDT-associated deaths occurred. Conclusions: PDT is advantageous for the patient as it is performed at bedside in the ICU. It is our conclusion that this technique is suitable for many, but not all, critical care patients.
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U2 - 10.1016/j.otohns.2006.12.001
DO - 10.1016/j.otohns.2006.12.001
M3 - Article
VL - 136
SP - 938
EP - 941
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
SN - 0194-5998
IS - 6
ER -