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2023, Number 5

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Med Crit 2023; 37 (5)

Ultrasound-guided percutaneous tracheostomy versus open technique tracheostomy in the ICU, which is better?

Medina LJL
Full text How to cite this article 10.35366/113053

DOI

DOI: 10.35366/113053
URL: https://dx.doi.org/10.35366/113053

Language: Spanish
References: 6
Page: 426-428
PDF size: 128.32 Kb.


Key words:

percutaneous tracheostomy, ultrasound, surgical time, surgical bleeding.

ABSTRACT

Tracheostomy is a procedure that is useful for the release of mechanical ventilation, as well as to improve the management of secretions in patients with mechanical ventilation , sometimes patients find themselves with various infusions of drugs such as sedation, vasopressors that make it difficult to Transfer of the patient to the operating room, for which it is of the utmost importance to perform surgical procedures within the intensive care units to provide timely treatment without the complications that are generated with the transfer. Ultrasound-guided percutaneous tracheostomy is a safe procedure with high rates of puncture efficacy and low major complications. In most institutions, tracheostomy is performed with the open technique and requires transfer of the patient to the operating room. With the implementation of ultrasound-guided percutaneous tracheostomy, this procedure can be done at the patient's bedside.


REFERENCES

  1. Plata P, Gaszynski T. Ultrasound-guided percutaneous tracheostomy. Anaesthesiol Intensive Ther. 2019;51(2):126-132. Available in: https://doi.org/10.5114/ait.2019.86277

  2. Iftikhar IH, Teng S, Schimmel M, Duran C, Sardi A, Islam S. A Network comparative meta-analysis of percutaneous dilatational tracheostomies using anatomic landmarks, bronchoscopic, and ultrasound guidance versus open surgical tracheostomy. Lung, 2019;197(3):267-275. Available in: https://doi.org/10.1007/s00408-019-00230-7

  3. Gualtieri G, Imperatore F, Cafora C, Liguori G, Gritti F, Tolone S, et al. Ultrasound guided percutaneous dilatation tracheotomy (US-PDT) to prevent potentially life-threatening complications: a case report. Int J Surg Case Rep. 2020;77S(Suppl):S125-S128. Available in: https://doi.org/10.1016/j.ijscr.2020.09.031

  4. Guinot PG, Zogheib E, Petiot S, Marienne JP, Guerin AM, et al. Ultrasound-guided percutaneous tracheostomy in critically ill obese patients. Crit Care. 2012;16(2):R40. Available in: https://doi.org/10.1186/cc11233

  5. Milojevic I, Lemma K, Khosla R. Ultrasound use in the ICU for interventional pulmonology procedures. J Thorac Dis. 2021;13(8):5343-5361. Available in: https://doi.org/10.21037/jtd-19-3564

  6. Raghavan RP, Vijay N. Real time ultrasound-guided percutaneous tracheostomy: Is it a better option than bronchoscopy guided percutaneous tracheostomy? Med J Armed Forces India. 2015;71(2):158-164. N https://doi.org/10.1016/j.mjafi.2015.01.013




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Med Crit. 2023;37