TY  - JOUR
TI  - Percutaneous ultrasound-guided versus bronchoscopy-guided dilatationaltracheostomy after median sternotomy: A case-control study
AB  - Background: In this study, we aimed to compare ultrasound guided versus bronchoscopy-guided percutaneous dilatationaltracheostomy outcomes in critically ill adult patients undergoinga median sternotomy. Methods: Between January 2015 and December 2020, a total of54 patients (17 males, 37 females; mean age: 54.9±13.1 years;range, 39 to 77 years) who underwent elective ultrasound- orbronchoscopy-guided percutaneous dilatational tracheostomyafter a median sternotomy were included. We compared theultrasound-guided group (n=25) with the bronchoscopy-guidedgroup (n=29) regarding all-cause mortality and complications.Safety assessments included major and minor bleeding,procedural hypoxic or hypotensive event, cardiac dysrhythmias,tracheal injury, damage to adjacent structures, and requirementof conversion to open surgical tracheostomy. Results: No tracheostomy procedure-related death was observedin either group. The median time for tracheostomy was 13(range, 8 to 17) min in the ultrasound-guided group and 10 (range,7 to 15) min in the bronchoscopy-guided group (p=0.387). Therewas no need for conversion between the two methods or conversionto surgical tracheostomy for any patient. The overall complicationrates did not significantly differ between the groups (p=0.15). Conclusion: Ultrasound-guided percutaneous dilatationaltracheostomy can be safely performed in patients undergoingsternotomy. Complication rates of the procedure are similar tothose guided with bronchoscopy.
AU  - Bermede, Onat
AU  - Inan, Mustafa Bahadir
AU  - Akar, Ahmet Ruchan
AU  - Sarıcaoğlu, Mehmet Cahit
AU  - hasde, ali ihsan
AU  - Baytaş, Volkan
DO  - 10.5606/tgkdc.dergisi.2021.21951
PY  - 2021
JO  - Türk Göğüs Kalp Damar Cerrahisi Dergisi
VL  - 29
IS  - 4
SN  - 1301-5680
SP  - 457
EP  - 464
DB  - TRDizin
UR  - http://search/yayin/detay/503199
ER  -