Percutaneous tracheostomy with Grigss dilating forceps technique: Retrospective analysis of 60 intensive care patients
Journal Title: Ege Tıp Dergisi - Year 2016, Vol 55, Issue 4
Abstract
Aim: In this study we aimed to present retrospective study the procedure time and early complications of the percutaneous tracheotomies with Griggs technique between January 1st 2010- December 31th 2012 in the Intensive Care Unit of Erzurum Palandöken State Hospital. Materials and Methods: Sixty adult patients were included the study and assessed retrospectively. Primary diagnosis, age, sex and intubation time of the patients were recorded, before the procedure. The procedure was performed using percutaneous tracheostomy kit (Portex, Blueline Ultra Smiths Medical, North America). The procedure time, early complications (minor bleeding, major bleeding, subcutaneous emphysema, pneumothorax, false passage, hypoxia and mortality), mechanical ventilation time, intensive care unit duration time and the patient status at discharge from the hospital were recorded. Tracheostomy was performed by using fiberoptic bronchoscopy (Olympus BF-TE2 Treviso, İtaly) in 20 cases. Results: The mean procedure time was 6.08±2.9 minutes. The early complications were minor bleeding in three patients (5%), major bleeding in one patient (1,66%), pneumothorax in one patient (1,66%) and false passage in one patient (1.66%). Conclusion: We concluded that percutaneous tracheostomy with Griggs technique is performed in a short time at the bedside and had a low complication ratio.
Authors and Affiliations
Ebru Çanakçı, Ayşegül Elbir Şahin, Korhan Kılıç
Cardiac metastasis of small cell lung cancer diagnosed with PET/CT and echocardiography
Cardiac metastases of malignant tumors occur more frequently than primary tumors of the heart. Local invasion of the pericardium and heart is commonly seen in primary lung cancer, but myocardial metastasis without local...
Tracheal intubatı̇on wı̇thout muscle relaxants in chı̇ldren
Aim: Tracheal intubation without muscle relaxants is usually performed with alfentanil and propofol or sevoflurane. Alfentanil 5 to 40 μg/kg, propofol 2.0-4.0 mg/kg sevoflurane up to 1 MAC provide excellent or good intub...
Bir mevsimsel influenza epidemisi deneyimi
Amaç: Grip, dünyanın bütün bölgelerinde görülebilen, influenza virüsünün neden olduğu bir akut solunum yolu enfeksiyonudur. İnfluenza ile enfekte olan hastalarda, hastaneye yatışı gerektiren ve ölüme yol açabilen komplik...
Sugammadex use in a patient with myastenia gravis
Myastenia gravis is an autoimmune disease involving the neuromuscular junction and patients receiving this diagnosis have a risk of developing postoperative respiratory failure. Similarly, the presence of chronic obstruc...
An unexpected clinical presentation of primary squamous cell carcinoma of the thyroid gland
Primary squamous cell carcinoma of the thyroid gland (PSCCT) is a rare disease which accounts less than 1% of all thyroid cancers. Patients usually present with enlarging neck mass. In this paper we presented a 76-year-o...