PMID- 38164840
OWN - NLM
STAT- MEDLINE
DCOM- 20240103
LR  - 20240106
IS  - 2284-0729 (Electronic)
IS  - 1128-3602 (Linking)
VI  - 27
IP  - 24
DP  - 2023 Dec
TI  - Indication, complication, and prognosis of fiberoptic bronchoscopy guided 
      percutaneous dilatation tracheostomy opening in respiratory intensive care unit: 
      a retrospective study.
PG  - 11771-11779
LID - 34775 [pii]
LID - 10.26355/eurrev_202312_34775 [doi]
AB  - OBJECTIVE: Percutaneous dilatational tracheostomy (PDT) is a bedside applicable 
      procedure in intensive care unit patients requiring long-term mechanical 
      ventilation. Fiber optic bronchoscopy (FOB) makes it easier and reduces 
      complications. Our study aimed to evaluate the indications, complications, and 
      prognosis of PDTs performed with FOB. PATIENTS AND METHODS: Our study included 
      114 patients undergoing PDT through FOB-guided Griggs method in the Respiratory 
      Intensive Care Unit between January 01, 2018, and January 31, 2023. RESULTS: 
      Among the patients undergoing PDT with FOB, 81 (71.1%) were male. The mean age 
      was 62.1+/-11.5. The median Glasgow Coma Scale (GCS) score was 9, the median Acute 
      Physiology and Chronic Health Evaluation-II (APACHE-II) score was 19, and the 
      median Sequential Organ Failure Assessment (SOFA) score was 8. Tracheostomy was 
      opened for prolonged mechanical-ventilator requirement in 80 patients (70.2%), to 
      protect the airway in 19 (16.7%), and for poor neurologic status in 15 patients 
      (13.2%). Complications during the procedure included hypoxemia in 3 patients 
      (2.6%), minor bleeding in 3 patients (2.6%), perforation of the FOB in one 
      patient (0.8%), and perforation of the intubation tube cuff in one patient 
      (0.8%). 79 patients (69.3%) were discharged, and 35 (30.7%) were exited. There 
      was a significant difference between the GCS, APACHE-II, and SOFA scores of the 
      patients discharged and those who exited (p < 0.001). CONCLUSIONS: FOB-guided PDT 
      application should be encouraged as it reduces complications but it is still 
      limited because it requires experienced specialists and equipment for a standard 
      approach.
FAU - Uluc, K
AU  - Uluc K
AD  - Department of Intensive Care, Yedikule Chest Diseases and Thoracic Surgery 
      Training and Research Hospital, Health Sciences University, Istanbul, Turkey. 
      kamuranuluc@hotmail.com.
FAU - Ongel, E A
AU  - Ongel EA
FAU - Ilkaya, N K
AU  - Ilkaya NK
FAU - Devran, O
AU  - Devran O
FAU - Ozcelik, H K
AU  - Ozcelik HK
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - Eur Rev Med Pharmacol Sci
JT  - European review for medical and pharmacological sciences
JID - 9717360
SB  - IM
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Aged
MH  - Female
MH  - *Bronchoscopy/adverse effects/methods
MH  - *Tracheostomy/adverse effects/methods
MH  - Retrospective Studies
MH  - Dilatation
MH  - Intensive Care Units
MH  - Prognosis
EDAT- 2024/01/02 11:42
MHDA- 2024/01/03 09:42
CRDT- 2024/01/02 05:53
PHST- 2024/01/03 09:42 [medline]
PHST- 2024/01/02 11:42 [pubmed]
PHST- 2024/01/02 05:53 [entrez]
AID - 34775 [pii]
AID - 10.26355/eurrev_202312_34775 [doi]
PST - ppublish
SO  - Eur Rev Med Pharmacol Sci. 2023 Dec;27(24):11771-11779. doi: 
      10.26355/eurrev_202312_34775.