[Surgical treacheotomy in intensive care].

Abstract:

BACKGROUND:To test validity, safety, costs and healing-outcome of surgical minitracheotomy after cannula removing. METHODS: DESIGN:Opened, perspective. Site: Polyvalent ICU. PATIENTS:40 patients underwent surgical minitracheotomy, in a year. Traditional surgical technique was adopted. Minitracheotomy was performed by intravenous general anesthesia with curarization and in mechanical ventilation. Intra-operative monitoring: ECG, non-invasive blood pressure and SaO2 by digital pulse oximetry. If a bleeding appeared, hemorrhage was stopped by vessel binding. RESULTS:Technical difficulty was the same in every tracheotomy carried out. Complications appeared in 7 patients. There were 2 infectious cases for stoma, resolved in 7 and 12 days respectively by local disinfection and antibiotic therapy. There were 5 cases with moderate bleeding; in one patient only a surgical procedure was necessary. CONCLUSIONS:Surgical tracheotomy represents a good and safe method in ICU; complications are few, if safety conditions are observed. Tracheotomy made in ICU reduced the use of medical and paramedical staff and operative rooms; unlike percutaneous procedure, in the surgical technique an always the same set after simple sterilization is used. Healing-outcome of surgical tracheotomy, after cannula removing, is the same with both techniques.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Leonelli V,Guasti G,Barbieri A

keywords:

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

207-14; discussion 214-6

issue

4

eissn

0375-9393

issn

1827-1596

journal_volume

66

pub_type

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