Yoğun bakım trakeostomi deneyimlerimiz; 103 olgu

Amaç: Bu çalışmada, yoğun bakım ünitemizde Griggs tekniği ile açılan perkütan trakeostomilerin işlemlerinin erken komplikasyonları sunmayı amaçladık. Gereç ve Yöntemler: Çalışmamızda, 2010-2016 yılları arasında Griggs tekniği ile perkütan trakeostomi açılan, 37 erkek 66 kadın olgu incelendi. Boyun yapısı normal olan ve hemostatik bozukluğu olmayan hastalar çalışmaya dahil edildi. Bulgular: Hastaların hepsinde perkütan trakeostomi başarılı bir şekilde açıldı. Komplikasyon olarak 6 hastada minör kanama, 15 hastada hipotansiyon, 1 hastada yara yeri enfeksiyonu görüldü. Hastalarda pnömotoraks, ciddi hipoksi ve mortalite görülmedi. Sonuç: Griggs tekniği ile perkütan trakeostomi açılmasının yatak başında kısa sürede uygulanan, düşük komplikasyon oranına sahip bir yöntem olduğu kanaatine varıldı.

Anahtar Kelimeler:

Perkütan trakeostomi, yoğun bakım, komplikasyon

Our tracheostomy experiences in intensive care; 103 cases

Objective: In this study we aimed to present the early complications of the percutaneous tracheotomies with Griggs technique in our intensive care unit.Materials and Methods: In this study , we investigated 103 patients. Percutaneous tracheostomy with Griggs method were performed to all patients. This study performed between 2010-2016. 37 male, 66 female patients were investigated. Normal tracheal and neck structurel patients were selected for technique. There were also no hemostatic problem. Peroperative and postoperative complications were recorded.Results: Percutaneous tracheostomies were performed succesfully in all patients. Minör bleeding were seen on 6 patients, hypotension on 15 patients, wound infection on 1 patient. Pneumothorax, serious hypoxia and mortality were not seen during percutaneous tracheostomy. Conclusion: We conclude that percutaneous tracheostomy with Griggs technique is performed in a short time at the bedside and has a low complication ratio.

Keywords:

Percutaneous tracheostomy, intensive care unit, complication,

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