Comparison of the effects of different percutaneous tracheotomy techniques on acute tracheal trauma

Cengiz Bekir DEMİREL; Hacer HALTAŞ; Hasan Kutluk PAMPAL; Yusuf ÜNAL; Berrin IŞIK; Mükerrem UYSAL

Makale detayları

Comparison of the effects of different percutaneous tracheotomy techniques on acute tracheal trauma

Yazarlar:

Cengiz Bekir DEMİREL | Hacer HALTAŞ | Hasan Kutluk PAMPAL | Yusuf ÜNAL | Berrin IŞIK | Mükerrem UYSAL

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.68-72

Belge Tipi:

Makale

Yayın Tarihi:

5/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000753408

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

As it can easily be performed at the bedside with minimal morbidity, percutaneous dilatational tracheotomy (PDT) is preferred over surgical tracheotomy. The aim of this study is to compare the effects of different PDT techniques on posterior tracheal wall injury.   Materials and methods: The study was conducted at the Gazi University Laparoscopy Training Center after approval was granted by the ethics committee. After sedation with xylazine/ketamine, electrocardiography, peripheral oxygen saturation, and blood pressure were monitored. Propofol was used to achieve the desired level of sedation during the procedure. There were 16 pigs, randomly allocated into 4 groups. Multiple, single, forceps, and twist dilator techniques were performed in groups I, II, III, and IV, respectively. At the end of the course all pigs were sacrificed and tracheas were harvested for macroscopic and histopathological evaluation.   Results: Macroscopic evaluation revealed erythematous/hemorrhagic and ulcerative lesions on the posterior wall of all samples. Histopathological injury was observed in all samples and was similar in all groups. Procedural time was significantly longer in group I than in all other groups (P < 0.05).  Conclusion: Although the results are conflicting, bronchoscopy-aided PDT is believed to reduce complications. In our study, PDTs were performed without bronchoscopy, and posterior wall injury was observed in all samples. Therefore, we suggest using bronchoscopy to reduce procedure-related complications and improve patient safety during PDT.

 

As it can easily be performed at the bedside with minimal morbidity, percutaneous dilatational tracheotomy (PDT) is preferred over surgical tracheotomy. The aim of this study is to compare the effects of different PDT techniques on posterior tracheal wall injury.   Materials and methods: The study was conducted at the Gazi University Laparoscopy Training Center after approval was granted by the ethics committee. After sedation with xylazine/ketamine, electrocardiography, peripheral oxygen saturation, and blood pressure were monitored. Propofol was used to achieve the desired level of sedation during the procedure. There were 16 pigs, randomly allocated into 4 groups. Multiple, single, forceps, and twist dilator techniques were performed in groups I, II, III, and IV, respectively. At the end of the course all pigs were sacrificed and tracheas were harvested for macroscopic and histopathological evaluation.   Results: Macroscopic evaluation revealed erythematous/hemorrhagic and ulcerative lesions on the posterior wall of all samples. Histopathological injury was observed in all samples and was similar in all groups. Procedural time was significantly longer in group I than in all other groups (P < 0.05).  Conclusion: Although the results are conflicting, bronchoscopy-aided PDT is believed to reduce complications. In our study, PDTs were performed without bronchoscopy, and posterior wall injury was observed in all samples. Therefore, we suggest using bronchoscopy to reduce procedure-related complications and improve patient safety during PDT.

Makale detayları

Comparison of the effects of different percutaneous tracheotomy techniques on acute tracheal trauma

Yazarlar:

Cengiz Bekir DEMİREL | Hacer HALTAŞ | Hasan Kutluk PAMPAL | Yusuf ÜNAL | Berrin IŞIK | Mükerrem UYSAL

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.68-72

Belge Tipi:

Makale

Yayın Tarihi:

5/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000753408

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Key words: Percutaneous dilatational tracheotomy

tracheal injury

swine model

Sayı

Makale detayları

Comparison of the effects of different percutaneous tracheotomy techniques on acute tracheal trauma

Yazarlar: Cengiz Bekir DEMİREL | Hacer HALTAŞ | Hasan Kutluk PAMPAL | Yusuf ÜNAL | Berrin IŞIK | Mükerrem UYSAL

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.68-72

Belge Tipi: Makale

Yayın Tarihi: 5/2014

Belge Dili: Türkçe

Document ID (Org No.): 2000753408

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Key words: Percutaneous dilatational tracheotomy

tracheal injury

swine model

Sayı

Yazarlar:

Cengiz Bekir DEMİREL | Hacer HALTAŞ | Hasan Kutluk PAMPAL | Yusuf ÜNAL | Berrin IŞIK | Mükerrem UYSAL

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2014 Vol.44 Issue 1, pp.68-72

Belge Tipi:

Makale

Yayın Tarihi:

5/2014

Belge Dili:

Türkçe

Document ID (Org No.):

2000753408

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144