[Percutaneous endoscopic tracheostomy].

Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01

A Paul, D Marelli, K H Vestweber, D S Mulder

引用次数: 0

Abstract

Between 6/88 and 8/89 61 critically ill patients (sepsis, ARDS, pneumonia, multiple trauma, etc.) underwent elective percutaneous endoscopic tracheostomy (PET). Following dilation up to 36 Fr. a number 6-10 tracheostomy tube was introduced. The patients were ventilated 17 (2-68 days) before and 28 (4-160) days after PET. One patient died from cardiac arrest, and in 4 patients, because of tube obstruction or cuff defect, reintubation was necessary. Additionally 2 significant infections and a minor bleeding and a emphysema occurred. Elective percutaneous tracheostomy performed in the ICU seems to be a simple and cost-effective procedure.

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经皮内窥镜气管造口术。

6/88 ~ 8/89期间，61例危重患者(脓毒症、ARDS、肺炎、多发创伤等)择期经皮内镜气管造口术(PET)。扩张至36fr后，引入6-10号气管造口管。PET术前17天(2 ~ 68天)，术后28天(4 ~ 160天)进行通气治疗。1例患者死于心脏骤停，4例患者因导管阻塞或袖带缺损需要重新插管。2例明显感染，1例轻度出血和1例肺气肿。择期经皮气管切开术在ICU似乎是一个简单和成本效益的程序。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress

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