Syed Mazhar Ali Naqvi, Muhammad Javed Bashir and Muhammad Hussain

ABSTRACT

Objective: To evaluate the percutaneous dilatational tracheotomy procedure safety guided by bronchoscopy and without bronchoscopy in the ventilated critical patients.

Study Design: Descriptive study. 

Place and Duration of Study: This study was conducted at the Medical ICU, Department of Pulmonary and Critical Care Medicine, Services Institute of Medical Sciences, Lahore from February, 2015 to December, 2016.

Materials and Methods: Fifty three Medical ICU patients underwent tracheostomy procedure through percutaneous dilatational using Bronchoscopic guidance and 50 tracheotomies were preformed blindly. Both type of procedures were performed at bed side using local anesthesia, sedation and systemic analgesia. Patients were monitored for intra-procedural and post-procedural complications like: hemorrhage, stomal infection, injury to adjacent structures, Paratracheal insertion, pneumothorax, sub-cutaneous emphysema, stomal infection, tracheal ring fracture and new lung infiltrate or atelectasis.

Results: A total of 53 Bronchoscopic guided and 50 blind procedures were performed. Intra-procedural complications were slightly higher in the blind group: Hemorrhage 3/53 (5.6%) VS 4/50 (8%). No procedure related mortality was noted in either group. Mortality due to primary causes was same (10/53 vs 9/50). Average Length of stay was higher in blind group 7 vs 8 days.

Key Words: Percutaneous dilatation tracheotomy, bronchoscopy, hemorrhage, tracheotomy

Citation of article: Naqvi SMA, Bashir MJ, Hussain M. Frequency of Complication During Percutaneous Dilatational Tracheostomy (PDT) Blind vs Bronchoscopic Guidance. Med Forum 2017;28(1):51-55.