Müslüm ÇİÇEK, Ender GEDİK, Aytaç YÜCEL, Ahmet KÖROĞLU, M. Özcan ERSOY

Griggs Tekniği İle Açılan Perkütan Trakeostomi Sonuçlarımız

Amaç: Bu çalışmada, yoğun bakım ünitemizde Griggs tekniği ile açılan perkütan trakeostomilerin işlem süresini ve erken komplikasyonları sunmayı amaçladık. Gereç ve Yöntem: Çalışmaya alınan 115 erişkin hasta retrospektif olarak değerlendirildi. İşlem öncesi hastaların birincil tanıları, yaş, cinsiyet ve entübasyon süresi kaydedildi. İşlem “Percutaneous tracheostomy kit” (Portex, Hythe, Kent, İngiltere) ile gerçekleştirildi. İşlem süresi, hastalarda gelişen erken komplikasyonlar (minör kanama, cerrahi kanama, subkutan amfizem, pnömotoraks, yanlış pasaj, hipoksi ve mortalite), mekanik ventilasyon süresi, yoğun bakım yatış süresi ve hastaneden çıkış durumu kaydedildi. Bulgular: İşlem süresinin ortalama 5.77 dk olduğu tespit edildi. Perkütan trakeostomiye bağlı erken komplikasyon olarak 3 (%2.6) hastada minör kanama, 1 (%0.86) hastada cerrahi kanama ve 1 (%0.86) hastada yanlış pasaj gelişti. Sonuç: Griggs tekniği ile perkütan trakeostomi açılmasının yatak başında kısa sürede uygulanan, düşük komplikasyon oranına sahip bir yöntem olduğu kanaatine varıldı. Anahtar kelimeler: Yoğun bakım ünitesi, Komplikasyon, Perkütan, Trakeostomi, Griggs tekniği

Anahtar Kelimeler:

Yoğun bakım ünitesi, Komplikasyon, Perkütan, Trakeostomi, Griggs tekniği

Our Conclusions at Percutaneous Tracheostomy Performed with Griggs Technique

Objective: In this study we aimed to present the procedure time and early complications of the percutaneous tracheotomies with Griggs technique in our intensive care unit. Material and methods: 115 adult patients were included the study and assessed retrospectively. Before the procedure, the primary diagnosis, age, sex and intubation time of the patients were recorded. The procedure was performed with ‘Percutaneous tracheostomy kit' (Portex, Hythe, Kent, UK). The procedure time, the early complications (minor bleeding, surgical bleeding, subcutaneous emphysema, pneumothorax, false passage, hypoxia and mortality), mechanical ventilation time, intensive care unit stay time and the patient status at the hospital discharge were recorded. Results: The mean procedure time was 5.77 min. The early complications of the procedure were found as minor bleeding in three patients (2.6%), surgical bleeding in one patient (0.86%), and false passage in one patient (0.86%). Conclusion: We conclude that percutaneous tracheostomy with Griggs technique is performed in a short time at the bedside and i has a low complication ratio. Key words: Intensive care unit, Complication, Percutaneous, Tracheostomy, Griggs technique

Keywords:

Intensive care unit, Complication, Percutaneous, Tracheostomy, Griggs technique,

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