Abstract:
Objective To investigate the effectiveness of percutaneous dilational tracheostomy (PDT) in airway positioning for emergency and critically ill patients.
Methods A review was done on clinical data of 153 critically ill patients admitted into the Department of Emergency and ICU, First Hospital Affiliated to the General Hospital of the PLA from July 2004 to July 2014. All patients were treated with tracheotomy. There were 34 males and 22 females in PDT group, while 48 males and 49 females in conventional tracheal incision operation tracheotomy(OT) group(OT group). The time-effectiveness and safety of PDT and OT were compared in clinical application of tracheotomy from aspects of operation time, low oxygen from the continuous time, hypotension rate, postoperative bleeding, wound healing.
Results Operation time of PDT and OT groups was(6.0±2.2) min and(17.6±5.5) min, respectively(P<0.001). Continuous time of low oxygen in PDT and OT groups were(10.8±2.8)min and(37.6±6.1)min, respectively(P<0.001). Hypotension rate in PDT and OT groups was 25% and 24.7%, respectively(P>0.05). Postoperative bleeding in PDT and OT groups was (4.0±0.7) mL and (5.3±1.4) mL, respectively (P<0.001). Wound healing time in PDT and OT groups were (4.4±1.3) d and(7.8±2.5) d, respectively(P<0.001).
Conclusion PDT is better than OT in airway positioning for emergency and critically ill patients.
Key words:
Percutaneous dilational,
Tracheostomy,
Time-effectiveness
Zhewei Zhao, Huishu Yu, Zhongjie He. Time-effectiveness of percutaneous dilational tracheostomy in airway positioning for emergency and critically ill patients[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2015, 01(06): 42-44.