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          VOLUME 47 / ISSUE 1

The Journal is Indexed in

3 - Percutaneous tracheotomy practices in our intensive care unit (ICU)

Tolga Totoz, Hacer Şebnem Türk, Pınar Sayın, Oya Ünsal, Surhan Çınar, Sibel Oba

Introduction and Objective: Percutaneous tracheotomy practice is usually preferred at ICU for the advantages of able to be applied in a short time and at the bedside and it causes less bleeding. It is the alternative of surgical tracheotomy. The aim of this study is to analyze tracheotomies that were opened in our ICU in last 4 years, within the terms of practice day, practicing duration and post practice complications.

Method: 132 percutaneous tracheotomy practiced cases of 603 cases that were treated in our reanimation unit between 01.01.2007 and 31.12.2010 were analyzed. Percutaneous tracheotomy practices were conducted via Griggs technique by a team. Demographic information, practice day, total mechanical ventilation days, practicing duration and post practice complications were recorded.

Findings: 603 cases were followed up and treated in ICU in last 4 years. 132 Percutaneous tracheotomy practices were applied in this period. It is figured out that women-man ratio was 62/70, the mean of age of the cases was 58.65±17.22 years, the mean hospitalization time of cases was 38.77±28.74 days, the mean intubation time before tracheotomy practice was 8.20±5.44 days, total mechanical ventilation days 26.85±21.70 and the mean practicing duration of operation was 6.1±2.1 minutes. 86 cases were deceased due to the comorbidities at ICU. 46 cases were transferred to the related services. Total complication (8 cases) were encountered.

Result: Percutaneous tracheotomy which was practiced for indications such as need for mechanical ventilation for long time, easing weaning, providing urgent airway in ICU; is simple, has low complication ratio and is minimally invasive practice.

Keywords: Intensive care, tracheotomy, complication

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