TY  - JOUR
TI  - Percutaneous dilatational tracheostomy in patients with mechanical circulatory support: Is the procedure safe?
AB  - Background: We aimed to investigate the efficacy and safety ofpercutaneous dilatational tracheostomy procedure following cardiacsurgery in patients receiving extracorporeal membrane oxygenationand/or left ventricular assist device.Methods: A total of 42 patients (10 males, 32 females; mean age51±14.6 years; range, 18 to 77 years) who underwent percutaneousdilatational tracheostomy procedure under extracorporeal membraneoxygenation and/or left ventricular assist device support betweenJanuary 2017 and January 2019 were retrospectively analyzed.Laboratory data, Simplified Acute Physiology Score-II andSequential Organ Failure Assessment scores, and major and minorcomplications were recorded. The 30-day and one-year follow-upoutcomes of the patients were reviewed.Results: Of 42 patients, 17 (42.5%), 14 (33.3%), and 11 (26.2%) receivedleft ventricular assist device, extracorporeal membrane oxygenation,and extracorporeal membrane oxygenation + left ventricular assistdevice, respectively. During percutaneous dilatational tracheostomy,the laboratory values of the patients were as follows: internationalnormalized ratio, 2.3±0.9; partial thromboplastin time, 59.4±19.5 sec;platelet count, 139.2±65.8×109/L, hemoglobin, 8.8±1.0 g/dL, andcreatinine, 1.6±1.0 mg/dL. No peri-procedural mortality, majorcomplication, or bleeding was observed. We observed minorcomplications including localized stomal ooze in four patients (8.3%)and local stomal infection in three patients (6.2%).Conclusion: Our study results suggest that percutaneous dilatationaltracheostomy is an effective and safe technique in this patientpopulation.
AU  - turan, sema
AU  - bektaş, şerife
AU  - Altınkaya Çavuş, Mine
DO  - 10.5606/tgkdc.dergisi.2020.19642
PY  - 2020
JO  - Türk Göğüs Kalp Damar Cerrahisi Dergisi
VL  - 28
IS  - 3
SN  - 1301-5680
SP  - 435
EP  - 441
DB  - TRDizin
UR  - http://search/yayin/detay/372529
ER  -