Traqueostomía percutánea con asistencia fibrobroncoscó pica: Evaluación prospectiva de 100 casos consecutivosy revisión de la literatura

Abstract

Background: Development of percutaneous techniques for tracheostomy have facilitated its implementation in the intensive care unit (ICU). Aim: To evaluate the safety of performing percutaneous tracheostomy (PT) using the Ciaglia Blue Rhino mechnique with fiberoptic bronchoscopy asdstance in patients with prolonged mechanical ventila Hon. Patients and methods: Prospective evaluation of 100 consecutive patiente aged 62±26 years (38 women) subjected to percutaneous tracheostomy. All me procedures were performed in me ICU. Demographic variables, APACHE II, days of mechanical ventilation before PT, operative and post operative complications were recorded. Results: Man APACHE II score was 20±3. Patients required on average 16±7 days of mechanical ventilation before PT. Eight patients (8%) had operative complications. One had an episode of trandtory desaturation, one had a transitory hypotension related to sedation and six had mild bleeding not requiring transfudon. No patient required converdon to surgical tracheostomy. Four patients (4%) presented post operative complications. Two had a mild and transitory bleeding of the ostomy, and two had a displacement of me cannula. No other complications were observed. Conclusions: PT using the Ciaglia Blue Rhino technique with fiberoptic bronchoscopy asdstance is a safe procedure that can be performed in the ICUby trained intensivists.