Application of horns percutaneous tracheostomy in critically ill neurosurgical patients
10.3969/j.issn.1006-5725.2016.15.009
- VernacularTitle:牛角型经皮气管切开术在神经外科危重患者中的应用
- Author:
Shenghua CHU
;
Yanbin MA
;
Dongfu FENG
- Publication Type:Journal Article
- Keywords:
Percutaneous tracheostomy;
Guide wire cattle horn;
Neurosurgery
- From:
The Journal of Practical Medicine
2016;32(15):2452-2453
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the experience of applying horns percutaneous tracheostomy in critically ill neurosurgical patients. Methods The size of operative incision, operation time, amount of blood loss, incision healing time , and incidence of complications were analyzed retrospectively in 95 patients with GWCH and 83 with ST. Results There were smaller size of operation incision [(1.6 ± 0.4) cm vs. (3.8 ± 0.9) cm], shorter operation time [(4.4 ± 2.8) min vs. (20.5 ± 5.2) min], less blood loss [(4.5 ± 0.8) mL vs. (8.5 ± 4.5) mL] and shorter incision healing time [(3 ± 0.5) d vs. (5 ± 1.5) d] in GWCH group than that in ST group and the difference was statistical significant (P < 0.01). The incidence of incision blood leaking after operation was lower in GWCH group (2.1%) than that in ST group (16.9%) and the incidence of incision sputum leaking was lower in GWCH group (1.1%) than that in ST group (14.5%), but no difference was found in terms of the incidence of other complications (P > 0.05). Conclusions When compared with traditional ST, horns percutaneous tracheostomy is with smaller incisions , shorter operation time , less blood loss , faster healing and lower incision sputum leaking and is worthy of popularization in critically ill neurosurgical patients.
