韩国心血管和胸外科超声引导经皮气管切开术:重症患者疗效和安全性的回顾性评估。

Q4 Medicine
Young Hyun Lee, Dong Hoon Kang, Hyun Oh Park
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引用次数: 0

摘要

背景:在重症监护环境中,维持通气通常至关重要。为了促进长期通气并减少相关并发症,气管造口术经常被采用。这种手术可采用多种技术,包括传统手术、内窥镜方法和超声引导方法:我们回顾性研究了我院重症监护室在2018年3月至2023年4月期间收治的所有接受超声引导下经皮气管切开术(UPCT)患者的数据。研究共纳入81名年龄在15岁或以上的患者。为了评估并发症的发生率,我们将这些问题分为轻微并发症和严重并发症,其中严重并发症包括需要输血的出血等事件:最常见的轻微并发症是无需输血的出血,有 15 名患者(18.5%)出现了这种情况。7名患者(8.6%)出现了主要并发症,他们都因出血而需要输血。不过,我们没有发现感染、转为开放手术或气管狭窄手术的病例。并发症发生率与之前的研究报告没有明显差异:这些结果表明,UPCT 可以安全地用于危重病人,但还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ultrasound-Guided Percutaneous Tracheostomy in Cardiovascular and Thoracic Surgery of South Korea: Retrospective Evaluation of Efficacy and Safety in Critically Ill Patients.

Background: In intensive care settings, the maintenance of ventilation is typically essential. Tracheostomy is frequently performed to facilitate long-term ventilation and to minimize associated complications. This procedure can be conducted using several techniques, including traditional surgery, endoscopic approaches, and ultrasound-guided methods.

Methods: We retrospectively examined data from all patients admitted to the intensive care unit of our institution who underwent ultrasound-guided percutaneous tracheostomy (UPCT) between March 2018 and April 2023. The study included a total of 81 patients aged 15 years or older. To assess the incidence of complications, we classified these issues as either minor or major, with major complications encompassing events such as bleeding necessitating blood transfusion.

Results: The most frequent minor complication was bleeding that did not require blood transfusion, which occurred in 15 patients (18.5%). Major complications were identified in 7 patients (8.6%), all of whom experienced bleeding that necessitated transfusion. However, we noted no cases of infection, conversion to open surgery, or tracheal stenosis surgery. The complication rate did not significantly differ from those reported in previous studies.

Conclusion: These results indicate that UPCT can be safely used in critically ill patients, although further research on this topic is needed.

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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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