Auxiliary methods for percutaneous dilatational tracheotomy

Abstract

Aim: Patient with long-term mechanic ventilation in the Intensive care unit can be used as an adjunct to the Light styles and Fiberoptic bronchoscope as a guide in percutaneous dilatation tracheotomy. In our study, we planned to investigate the effects of Lightstyles and Fiber optic bronchoscope on perioperative complications in percutaneous dilatation tracheotomy.Material and Methods: The study was conducted by scanning digital and written file records of 52 patients who underwentpercutaneous dilatation tracheotomy between 2016 and 2018. Patients were evaluated in 3 groups using Light styles, Fiber opticbronchoscope and no additional methods.Results: In the study; percutaneous dilatation tracheotomy were performed to 52 patients who were followed up at the Intensive careunit. Mean Percutaneous dilatation tracheotomy opening day was 17.03±4.18 days, operation time was 21.23±8.45 min, 69.2% wassuccessful in the first attempt in all groups. There were 21 patients using Light styles, 12 using Fiber optic bronchoscope and 19 withno additional methods. In 26 patients (74.3%) the use of Light styles or Fiber optic bronchoscope was facilitated. In the Light stylesgroup endotracheal tube puncture was less common (p=0.044). More venous hemorrhage was seen in longer periods of procedure(p