Application of Percutaneous Tracheotomy Guided by Fiberoptic Bronchoscope in Intensive Care Unit
- VernacularTitle:纤维支气管镜引导下经皮气管切开术在重症监护病房中的应用
- Author:
Yaoliang SHEN
1
;
Xiaofeng WANG
;
Feng ZHENG
;
Weiyi ZHOU
;
Hongwei YE
Author Information
1. 江苏省常熟市第一人民医院重症监护病房
- Keywords:
Percutaneous tracheotomy;
Fiberoptic Bronchoscope;
Complications
- From:
Chinese Journal of Clinical Medicine
2014;(6):656-658
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the operation time,peroperative and long-term postoperative complications of percutaneous tracheotomy with or without the guidance by fiberoptic broncho-scopy in intensive care unit(ICU).Methods:The clinical data of 73 patients who were performed percutaneous tracheotomy in ICU of Changshu First People's Hospital from Nov 2010 to Jan 2014 were retrospectively analyzed.Forty-three patients who accepted percutaneous tracheotomy guided by fiberoptic bronchos-copy were assigned to Group A,while the other 30 patients were assigned to Group B.The status of intraoperative and short-term and long-term postoperative complications were compared between the two groups.Results:The operation time had no significant difference between the two groups(P >0.05).Four cases(9.3%)in Group A got perioperative complications,inclu-ding 1 case of postoperative bleeding >48 h,1 case of wound infection and 2 cases of subcutaneous emphysema.Fifteen cases (50%)in Group B got perioperative complications,including 1 case of wound infection,1 case of pneumothorax,3 cases of postoperative bleeding >48 h,5 cases of subcutaneous emphysema,and 5 cases of tracheal damage on posterior wall or side wall.The differences in rate of complications between the two groups were statistically significant(P <0.05).Among the 73 patients,33 cases had be followed up,2 cases from the 18 cases who had be followed up in Group A had complications,inclu-ding 1 case of hoarseness,1 case of foreign body sensation in the throat.Two cases from the 15 cases who had be followed up in Group B had complications,including 1 case of hoarseness,1 case of dysphagia.The long-term complications rates had no significant difference between the two groups(P > 0.05).Conclusions:The percutaneous tracheotomy guided by fiberoptic bronchoscopy does not increase operation time,but can reduce the incidence of perioperative complications.
