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2017, Number 4

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Rev Sanid Milit Mex 2017; 71 (4)

Morbidity and mortality of percutaneous tracheostomy in the intensive care unit at the Military Central Hospital

Patiño-Salazar HM, Torres-Alarcon CG, Morales-Pogoda II, Sandoval-De La Cruz R

Language: Spanish
References: 21
Page: 322-341
PDF size: 306.26 Kb.


ABSTRACT

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.


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