Percutaneous Tracheostomy under Bronchoscopic Visualization Does Not Affect Short-Term or Long-Term Complications

Percutaneous tracheostomy is a safe and effective bedside procedure. Some advocate the use of bronchoscopy during the procedure to reduce the rate of complications. We evaluated our complication rate in trauma patients undergoing percutaneous tracheostomy with and without bronchoscopic guidance to a...

Full description

Saved in:
Bibliographic Details
Published in:The American surgeon 2017-07, Vol.83 (7), p.696-698
Main Authors: Easterday, Thomas S., Moore, Joshuaw, Redden, Meredith H., Feliciano, David V., Henderson, Vernon J., Humphries, Timothy, Kohler, Katherine E., Ramsay, Philip T., Spence, Stanston D., Walker, Mark, Wyrzykowski, Amy D.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Bronchoscopy
Complications
Female
Humans
Intensive care
Male
Medical instruments
Middle Aged
Ostomy
Patients
Postoperative Complications - epidemiology
Retrospective Studies
Throat
Time Factors
Tracheostomy
Tracheostomy - methods
Trauma
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Percutaneous tracheostomy is a safe and effective bedside procedure. Some advocate the use of bronchoscopy during the procedure to reduce the rate of complications. We evaluated our complication rate in trauma patients undergoing percutaneous tracheostomy with and without bronchoscopic guidance to ascertain if there was a difference in the rate of complications. A retrospective review of all tracheostomies performed in critically ill trauma patients was performed using the trauma registry from an urban, Level I Trauma Center. Bronchoscopy assistance was used based on surgeon preference. Standard statistical methodology was used to determine if there was a difference in complication rates for procedures performed with and without the bronchoscope. From January 2007, to April 2016, 649 patients underwent modified percuteaneous tracheostomy; 289 with the aid of a bronchoscope and 360 without. There were no statistically significant differences in any type of complication regardless of utilization of a bronchoscope. The addition of bronchoscopy provides several theoretical benefits when performing percutaneous tracheostomy. Our findings, however, do not demonstrate a statistically significant difference in complications between procedures performed with and without a bronchoscope. Use of the bronchoscope should, therefore, be left to the discretion of the performing physician.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481708300723