Gómez CG, Valencia SVD, Lezama UCA, Álvarez SLM, Arellano JL, Careaga RG

Language: Español
References: 14
Page: 45-48
PDF size: 101.45 Kb.

ABSTRACT

Objective: To present our experience with the use of percutaneous tracheostomy in patients requiring prolonged mechanical ventilatory support after cardiac surgery.
Setting: General Hospital “Dr. Gaudencio González Garza”, Centro Médico Nacional “La Raza”, IMSS.
Design: Observational, descriptive, transversal, retrospective study.
Statistical analysis: Percentages as summary measure for qualitative variables.
Material and methods: We present the patients that required percutaneous tracheostomy between February 2007 and January 31, 2009. We revised indications and contraindications for the procedure. The used surgical technique consisted of a 1-cm transversal skin incision at the level of the 2nd tracheal ring, dissection, tracheal puncture, dilatation and tracheal cannula implantation. The presence of arrhythmia, loss of air ways, ‹ 90% desaturation, false pathway or tracheal lesion, hypotension, hemorrhage and its magnitude, need to convert the procedure, wound infection, pneumothorax, decannulation, subcutaneous emphysema, and death were monitored and recorded.
Results: Percutaneous tracheostomy was performed in 27 patients requiring prolonged mechanical ventilator support. There were 18 men and 8 women, average age of 56.1 ± 10.5 years (range from 38 to 73 years). Surgical time was of 12 ± 2.4 min. Hemorrhage was mild (‹ 30 ml). Neither morbidity, according to the analyzed variables, nor mortality, derived from the procedure, was observed. Seven patients died due to the background pathology.
Conclusion: Percutaneous tracheostomy is a safe and efficient option in patients requiring prolonged mechanical ventilatory support after cardiac surgery.

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