Clinical analysis of severe complications after percutaneous dilational tracheostomy in patients of Neuro-surgery Department

VernacularTitle:神经外科重症患者经皮扩张气管切开术后并发症的临床分析
Author: Yueqiao XU ; Weitao CHENG ; Ning WANG ; Wenjin CHEN ; Lidan JIANG
Publication Type:Journal Article
Keywords: Percutaneous tracheotomy; Complications; Neurosurgery; Airway management
From: Clinical Medicine of China 2016;32(10):947-949
CountryChina
Language:Chinese
Abstract: Objective To analyze the clinical characteristics and treatment Methods of severe com?plications after percutaneous tracheotomy( PDT) in neurosurgery patients,and to provide reference for the treat?ment and rescue of these patients. Methods A retrospective analysis of 578 cases after PDT was performed in Neurosurgery Intensive Care Unit ( NSICU ) of Xuanwu Hospital of Capital Medical University from 2005 to 2015. The types of complications,treatment method and prognosis were analyzed. Follow?up was 3 months to 1 year. Results Eighteen cases with severe complications,including bleeding,wound infection,asphyxia caused by tracheal mucosa suffocation,airway stenosis caused by granulation tissue,subcutaneous emphysema and neu?momediastinum,etc. After treatment and active rescue,most patients recovered,no patients die directly associated with surgery. Conclusion PDT plays an important role in the treatment of patients in NSICU,but it is still pos?sible to have serious complications,so physicians must understand and be prepared for complications,and pay more attention to prevent poor prognosis.