Suchergebnisse

BACKGROUND: Percutaneous
tracheostomy is one of the most frequently used procedures
in the Intensive Care Unit, its indication is
posteriormenin patients requiring a prolonged airway has
multiple benefits for the patient as for the institution,
due to its invasive and physiologically critical nature,
the Tracheostomy may be associated with significant
morbidity and even mortality. The Military Central Hospital
has been operating for 16 years. OBJECTIVE: To evaluate the
morbidity and mortality of percutaneous tracheostomy at the
Military Central Hospital. METHODS: An observational,
analytical, prospective and transverse study was carried
out over a period of 10 months in patients who were
candidates for elective percutaneous tracheostomy with
APACHE < 25 in the adult intensive care unit. RESULTS:
We included 36 procedures, which fulfilled the criteria and
inclusion, the ages of the patients were 54.14 + 19.39
years, 77.8% (28) was performed with bronchoscope support,
in our hospital the doctor who performed the procedure was
the Resident physician with 55.6% (20) of the procedures,
and the specialist physician in 44.4% (16). The duration of
the procedure was recorded without statistical difference
between the type of doctor or the specialty. Complications
accounted for 13.9% (5); the minimal bleeding occurring
more frequently 40% (2). Mortality during the procedure was
null and mortality before decanulation was present in 13
cases representing 38.2%, factors associated with mortality
were the patient's diagnosis p=0.001 and the patient's age
p=0.004. CONCLUSIONS: Morbidity of the percutaneous
tracheostomy in the adult intensive care unit of the
Military Central Hospital is 13.9%, with bleeding being the
most frequent, mortality during the procedure was
nil.