Percutaneous dilatation tracheostomy at liver transplantation intensive care unit by surgeons

Aim: Tracheostomy has evolved to be a routine procedure for prolonged mechanical ventilation patients in the intensive care unit.We aimed to analyze retrospectively our patients underwent percutaneous dilatation tracheostomy due to prolonged mechanicalventilation following liver transplantation.Material and Methods: Data of 34 patients who underwent percutaneous dilatation tracheostomy by general surgeons due toprolonged mechanical ventilation following liver transplantation were analyzed and evaluated retrospectively.Results: Patients did not experience any complications except minor bleeding following liver transplantation. Besides this techniquefacilitated patient compliance as well as comfort, which were essential during an accurate weaning process.Conclusion: Percutaneous dilatation tracheostomy is a safe method due to its low complication rate and easy applicability in handsof surgeons who are familiar with the neck anatomy.

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1. Olszewski J, MiΠoƒski J. Historia tracheotomii. Otolaryngologia Polska 2007;61:3: 349-52.
2. Yılmaz I, Özden D, Arslan GG. Turkiye Klinikleri J Med Ethics 2017;25:28-35.
3. Fatma Y, Yusuf TG, Cengiz BD. Percutaneous Tracheostomy in the Intensive Care unit. Eurasian J Pulmonol 2015;17:136-41.
4. Mehta C, Mehta Y. Percutaneous tracheostomy. Ann Card Anaesth 2017;20:S19-25.
5. Grant CA, Dempsey G, Harrison J, Jones T. Tracheoinnominate artery fistula after percutaneous tracheostomy: three case reports and a clinical review. Br J Anaesth 2006;96:127-31
6. McCormick B, Manara AR. Mortality from percutaneous dilatational tracheostomy. A report of three cases. Anaesthesia 2005;60:490-5.
7. Sheu CC, Tsai JR, Hung JY, et al. A simple modification of Ciaglia Blue Rhino technique for tracheostomy: using a guidewire dilating forceps for initial dilation. Eur J Cardiothorac Surg. 2007;31:114-9.
8. Simon M, Metschke M, Braune SA, et al. Death after percutaneous dilatational tracheostomy: a systematic review and analysis of risk factors. Crit Care 2013;17:258.
9. Raimondi N, Vidal MR, Calleja J, et al. Evidence based guidelines for the use of tracheostomy in critically ill patients. J Crit Care 2016.
10. Madsen KR, Guldager H, Rewers M, et al. Guidelines for Percutaneous Dilatational Tracheostomy from the Danish Society of Intensive Care Medicine (DSIT) and the Danish Society of Anesthesiology and Intensive Care Medicine (DASAIM). Dan Med Bull 2011;58:4358.
11. Rumbak MJ, Newton M, Truncale T, et al. A prospective, randomized, study comparing early percutaneous dilational tracheostomy to prolonged translaryngeal intubation (delayed tracheostomy) in critically ill medical patients. Crit Care Med 2004;32:1689-94
12. Zheng Y, Sui F, Chen XK, et al. Early versus late percutaneous dilational tracheostomy in critically ill patients anticipated requiring prolonged mechanical ventilation. Chin Med J 2012;125:1925-30.
13. Atar F, Gedik E, Kaplan Ş, et al. Late Intensive Care Unit Admission in Liver Transplant Recipients: 10-Year Experience. Exp Clin Transplant 2015;3:15-21.
14. Waller EA, Aduen JF, Kramer DJ, et al. Safety of percutaneous dilatational tracheostomy with direct bronchoscopic guidance for solid organ allograft recipients. Mayo Clin Proc 2007;82:1502-8.
15. Pilarczyk K, Marggraf G, Dudasova M, et al. Risk factors for bleeding complications after percutaneous dilatational tracheostomy: a 10-year institutional analysis. Crit Care 2015;19:213.