Safety of tracheotomy in neutropenic patients: a retrospective study of 26 consecutive cases

To evaluate the safety of tracheotomy in neutropenic ventilated cancer patients, in terms of infectious and haemorrhagic complications. Retrospective study. A medical-surgical intensive care unit in a Cancer-hospital. 26 consecutive patients undergoing a tracheotomy in neutropenic period, from 1987...

Full description

Saved in:
Bibliographic Details
Published in:Intensive care medicine 1995-08, Vol.21 (8), p.687-690
Main Authors: BLOT, F, NITENBERG, G, GUIGUET, M, CASTETTA, M, ANTOUN, S, PICO, J. L, LECLERCQ, B, ESCUDIER, B
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Brief Report
Decision Making
Emergency and intensive respiratory care
Humans
Intensive care medicine
Intubation, Intratracheal - adverse effects
Medical sciences
Neoplasms - drug therapy
Neutropenia - chemically induced
Neutropenia - complications
Platelet Transfusion
Respiration, Artificial
Retrospective Studies
Safety
Thrombocytopenia - chemically induced
Thrombocytopenia - complications
Time Factors
Tracheotomy - adverse effects
Treatment Outcome
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:To evaluate the safety of tracheotomy in neutropenic ventilated cancer patients, in terms of infectious and haemorrhagic complications. Retrospective study. A medical-surgical intensive care unit in a Cancer-hospital. 26 consecutive patients undergoing a tracheotomy in neutropenic period, from 1987 to 1990. Tracheotomy, performed at the bedside or in operating room. In all neutropenic patients undergoing a tracheotomy, the characteristics and duration of both neutropenia and mechanical ventilation have been recorded. Stomal bleeding and infection, and infectious pneumonias and alveolar haemorrhage have been carefully reviewed. Platelets were transfused in 23 of the 26 patients at the time of the procedure; no local haemorrhage was observed. Neither stomal nor pulmonary infections secondary to tracheotomy were noted. No respiratory worsening was attributable to the tracheotomy. Nineteen patients (73%) died in ICU, without direct link between tracheotomy and death. These findings suggest that a tracheotomy can be safely performed in neutropenic patients requiring mechanical ventilation.
ISSN:0342-4642
1432-1238
DOI:10.1007/BF01711551