The Efficacy of Ultrasound to Evaluate The Neck Structures Before Tracheostomy and To Determine The Methods of Tracheostomy: Percutaneous or Surgical?

INTRODUCTION: The aim of this study was to evaluate the influence of neck examination with ultrasound on making the decision of surgical tracheostomy or PDT and complication rates due to PDT. METHODS: This restrospective study was included 72 patients between 2015-2017 years. All the data was obtained by scanning from the electronic data base in Tepecik Training and Research Hospital. US was used to identify the position of the cricoid cartilages, trachea rings, thyroid and vascular structures. After the neck examination with US, surgical tracheostomy was decided on unsuitable cases. RESULTS: Tracheostomy decision was made to 72 patients with in 2 years. After the US neck examination, 13 patients (%18) underwent surgical tracheostomy. Surgical tracheostomy decision was made in 4 patients due to vascular structures, in 7 patients due to the difficulty of identifying tracheal rings and in 2 patients due to the thyroid gland. DISCUSSION AND CONCLUSION: US provides information regarding the anatomy of the neck region, including vascular structures. US examination of the neck is effective in reducing complications and determining percutaneous dilatational tracheostomy which may be difficult to perform.

Trakeostomi Öncesi Boyun Yapılarının Değerlendirilmesi ve Trakeostomi Yönteminin Belirlenmesinde Ultrasonun Etkinliği: Perkütan veya Cerrahi?

GİRİŞ ve AMAÇ: Bu çalışmanın amacı, cerrahi trakeostomi veya PDT kararını vermede ultrasonla boyun muayenesinin etkisini ve PDT'ye bağlı komplikasyon oranlarını değerlendirmektir. YÖNTEM ve GEREÇLER: Bu retrospektif çalışmaya 2015- 2017 yılları arasında 72 hasta dahil edildi. Tüm veriler, Tepecik Eğitim ve Araştırma Hastanesi'ndeki elektronik veri tabanından tarama yapılarak elde edilmiştir. US, krikoid kıkırdakların, trakea halkalarının, tiroidin ve vasküler yapıların konumunu belirlemek için kullanılmıştır. US ile yapılan boyun muayenesinden sonra uygun olmayan olgulara cerrahi trakeostomi kararlaştırıldı. BULGULAR: İki yıl içinde 72 hastaya trakeostomi kararı alındı. Ultrason ile boyun muayenesinden sonra 13 hastaya (% 18) cerrahi trakeostomi uygulandı. Dört hastaya vasküler yapılar, 7 hastaya trakeal halka tespitinde zorluk ve 2 hastaya geniş tiroid dokusu nedeniyle cerrahi trakeostomi kararı alındı. TARTIŞMA ve SONUÇ: Ultrason vasküler yapılar da dahil olmak üzere boyun bölgesinin anatomisi hakkında bilgi sağlar. Boynun ultrason ile muayenesi komplikasyonları azaltmada ve gerçekleştirilmesi zor olabilecek perkütan dilatasyonal trakeostomiyi belirlemede etkilidir.

___

Delaney A, Bagshaw SM, Nalos M. Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta analysis. Crit Care 2006; 10 (2) R55: 1-18.

Freeman BD, Isabella K, Cobb JP, Boyle WA, Schmieg RE Jr, Kolleff MH et al. A prospective, randomized study comparing percutaneous with surgical tracheostomy in critically ill patients. Crit Care Med 2001; 29: 926-30.

Ciaglia P, Firsching R, Syniec C. Elective percutaneous dilatational tracheostomy: a new simple bedside procedure: preliminary report. Chest 1985; 87: 715-19.

Rajajee V, Fletcher JJ, Rochlen LR, Jacops TL. Real time ultrasound guided percutaneous dilatational tracheostomy: a feasibility study. Crit Care. 2011; 15 (1) R67: 1-9. doi:10.1186/cc10047.

Yavuz A, Yılmaz M, Göya C, Alimoğlu E, Kabaalioğlu A. Advantages of US in percutaneous dilatational tracheostomy: randomized controlled trial and review of the literature. Radiology. 2014; 273 (3): 927-36. doi: 10.1148/radiol.14140088

Gobatto AL, Besen BA, Tierna PF, Mendes PV, Cadamoru F, Joelsons D et al. Comparison between ultrasound and bronchoscopy guided percutaneous dilational tracheostomy in critically ill patients: a retrospective cohort study. J Crit Care. 2015; 30(1): 220 e.13-7. doi: 10.1016/j.jcrc.2014.09.011

Sustic A, Zupan Z, Antoncic I. Ultrasound guided percutaneous dilatational tracheostomy with laryngeal mask airway control in a morbidly obese patient. J Clin Anesth. 2004; 2004 Mar; 16(2):121-3.

Guinot PG, Zogheib E, Petiot S, Marienne JP, Guerin AM, Monet P et al. Ultrasound guided percutaneous tracheostomy in critically ill obese patients. Crit Care. 2012; 16 (2) R40: 1-8. doi: 10.1186/cc11233.

Kollig E, Heydenreich U, Roetman B, Hopf F, Muhr G. Ultrasound and bronchoscopic controlled percutaneous tracheostomy on trauma ICU. Injury 2000, 31:663-68.

Ziyaeifard M, Totonchi Z. Real-Time Ultrasound Guided the New Standard Technique for Percutaneous Dilatational Tracheostomy (PDT). Anesth Pain Med. 2015 Jun 22;5(3):1-4. doi: 10.5812/aapm.24653v2.

Mehta Y. Percutaneous dilatational tracheostomy: Guided well with real-time ultrasound. Indian J Crit Med. 2013: 17 (6): 335-6

Sarıtaş A, Kurnaz MM. Comparison of Bronchoscopy-Guided and Real Time Ultrasound- Guided Percutaneous Dilatational Tracheostomy: Safety, Complications, and Effectiveness in Critically Ill Patients. J Intensive Care Med. 2017 Jan 1:885066617705641. doi: 10.1177/0885066617705641. [Epub ahead of print]

Ravi PR, Vijay MN. Real time ultrasound guided percutaneous tracheostomy: Is it a better option than bronchoscopic guided percutaneous tracheostomy? Med J Armed Forces India. 2015; 71(2): 158-64. doi: 10.1016/j.mjafi.2015.01.013

Düger C, İsbir AC, Uysal İÖ, Kol İÖ, Kaygusuz K, Gürsoy S et al. The Evaluation of the Complications of Surgical and Percutaneous Tracheostomies in Intensive Care Unit. Turk J Anaesth Reanim. 2013; 41: 84-7

Karvandian K, Mahmoodpoor A, Beigmohammadi M, Sanaie S. Complications and safety of percutaneous dilatational tracheostomy with griggs method versus surgical tracheostomy: A prospective trial with six months follow up. Pak J Med Sci. 2009 ; 25 (1): 41-5

Hazard P, Jones C, Benitone J. Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy. Crit Care Med 1991; 19: 1018-24

McHenry CR, Raeburn CD, Lange RL, Priebe PP. Percutaneous tracheostomy: a cost effective alternative to standart open tracheostomy. Am Surg 1997; 63 (7) :646-51

Putensen C, Theuerkauf N, Guenther U, Vargas M, Pelosi P. Percutaneous and surgical tracheostomy in critically ill adult patients: a meta analysis. Crit Care. 2014;18(6):544.

Melloni G, Muttini S, Gallioli G, Carretta A, Cozzi S, Gemma M, et al. Surgical tracheostomy versus percutaneous dilatational tracheostomy. A prospective-randomized study with long term follow up. J Cardiovasc Surg (Torino). 2002;43(1):113–21

Klotz R, Klaiber U, Grummich K, Probst P, Diener MK, Büchler MW. Percutaneous versus surgical strategy for tracheostomy: protocol for a systematic review and meta analysis of perioperative and postoperative complications. Syst Rev. 2015; 4(105): 1-11. doi: 10.1186/s13643-015-0092-5.

Klotz R, Probst P, Deininger M, Klaiber U, Grummich K, Diener MK. Percutaneous versus surgical strategy for tracheostomy: a systematic review and meta-analysis of perioperative and postoperative complications. Langenbecks Arch Surg. 2017 Dec 27. doi: 10.1007/s00423-017-1648- 8. [Epub ahead of print]
Kocaeli Tıp Dergisi-Cover
  • ISSN: 2147-0758
  • Başlangıç: 2012
  • Yayıncı: -
Sayıdaki Diğer Makaleler

Morphometric Analysis of Coracoid Process And Glenoid Cavity In Terms of Surgical Approaches: An Anatomical Study

SİBEL ÇIRPAN, Gökşin Nilüfer YONGUÇ, MUSTAFA GÜVENÇER

The Effect of Kinesiotaping on Pain, Balance and Falling Risks in Patients with Plantar Fasciitis

Mustafa Yemliha AYHAN, Engin ÇAKAR, Ahmet Salim GOKTEPE, MEHMET AĞIRMAN

Does Preoperative Knee Flexion Angle Affect Postoperative Knee Flexion Angle and Function in Patients With Total Knee Arthroplasty?

Serkan BAKIRHAN, Bayram ÜNVER

Lidokainin Elektrokonvulzif Tedavi Etkinliği Üzerine Etkisi

Vildan KILIÇ YILMAZ, Aslı Duygu AYDAŞ, Mehmet YILMAZ, Öyküm FINDIK, Ayşe Zeynep TURAN

Treatment Results of the Ponseti Method in Patients with Idiopathic Pes Equinovarus

Hasan Ulaş OĞUR, Fırat SEYFETTİNOĞLU, Ümit TUHANİOĞLU, Alper GÜLTEKİN, Şükrü SOLAK

Vitamin D Düzeylerinin Tiroidektomi Sonrası Gelişen Hipokalsemi Üzerine Etkisi

Havva Belma KOÇER, Yusuf ARSLAN, Yeşim AKDENİZ, Ali İmran KÜÇÜK

Safety of Esophageal Stent Placement Without Fluoroscopy

MÜRŞİT DİNCER, Gamze ÇITLAK, Hüda Ümit GÜR, Ekrem FERLENGEZ, Muzaffer AKINCI

Cases of Unilateral Breast Atrophy During Lactation

ŞADİYE NURAY KADIOĞLU VOYVODA, TÜLAY ÖZER

Floroskopi Kullanılmadan Yapılan Özofagial Stent Uygulamalarının Güvenilirliği

Mürşit DİNCER, Ekrem FERLENGEZ, Hüda Ümit GÜR, Muzaffer AKINCI, Gamze ÇITLAK

İdiopatik Pes Ekinovaruslu Hastalarda Ponseti Yöntemiyle Tedavi Sonuçlarımız

Ümit TUHANİOĞLU, Şükrü SOLAK, Alper GÜLTEKİN, Fırat SEYFETTİNOĞLU, Hasan Ulaş OĞUR