Traqueostomía percutánea por dilatación: experiencia institucional
Palabras clave:
traqueostomía percutánea, tráquea, vía aérea, alternativa, costo-efectividadResumen
En la Unidad de Cuidados Intensivos de la Clínica San Pedro Claver se adoptó como técnica de elección, la traqueostomía percutánea por dilatación en los pacientes críticamente enfermos, sometidos a ventilación mecánica prolongada, debido a que ha demostrado seguridad, bajo costo y menor tasa de complicaciones. Se presenta la experiencia en el transcurso de dos años con su aplicación.
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Referencias bibliográficas
1. Fajardo R, Pulido H, Henao F. Traqueostomía percutánea. Rev Colomb Cir 1999; 14: 76.
2. Hill B, Zweng T, Maley R, et al. Percutaneous dilational tracheostomy: report of 356 cases. J Trauma 1996; 40: 238.
3. Ivatury R, Siegel J, Stahl W, et al. Percutaneous tracheostomy after trauma and critical illness. J Trauma 1992; 32: 133.
4. Graham J, Mulloy R, Sutherland F, et al. Percutaneous versus open tracheostomy: a retrospective cohort outcome study. J Trauma 1996; 42: 245.
5. Heikkinen M, Aarnio P, Hannukainen J. Percutaneous dilational tracheostomy or conventional surgical tracheostomy? Crit Care Med 2000; 28: 1399.
6. Añón J, Gómez V, Escuela M, et al. Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques. Crit Care 2000; 4: 124.
7. Maziak D, Meade M, Todd T. The timing of tracheostomy. A systematic review. Chest 1998; 114: 605.
8. Van Heurn L. When and how should we do a tracheostomy? Curr Opin Crit Care 2000; 6: 267.
9. Georges H, Leroy O, Guery B, et al. Predisposing factors for nosocomial pneumonia in patients receiving mechanical ventilation and requiring tracheostomy. Chest 2000; 118: 767.
10. Trottier S, Hazard P, Sakabu S, et al. Posterior tracheal wall perforation during percutaneous dilational tracheostomy: an investigation into its mechanism and prevention. Chest 1999; 115: 1383.
11. Marx W, Ciaglia P, Graniero K. Some important details in the technique of percutaneous dilational tracheostomy via the modified Seldinger technique. Chest 1996; 110: 3.
12. Norwood S, Vallina V, Short K, et al. Incidence of tracheal stenosis and other late complications after percutaneous tracheostomy. Ann Surg 2000; 232: 2.
13. Velmahos G, Gómez H, Demetriades D, et al. Bedside percutaneous tracheostomy: prospective evaluation of a modification of the current technique in 100 patients. World J Surg 2000; 24: 1109.
14. Dulguerov P, Gysin C, et al. Percutaneous or surgical tracheostomy. A meta-analysis. Crit Care Med 1999; 4: 1617-1625.
15. Freeman B, Isabella K, et al. A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients. Chest 2000; 1412-1418.
16. Kearney P, Griffen M, Ochoa J, et al. A single center 8 year experience with percutaneous dilational tracheostomy. Ann Surg 2000; 5: 231.
17. Sandur S, Stoller J. Pulmonary complications of mechanical ventilation. Clin Chest Med 1999; 20: 223-47.
18. Mallanpati Rao. Airway management - Barash: Clinical Anesthesia, 1996; 573-594.
19. Pryor J, Reilly P, Shapiro M. Surgical airway management in the intensive care unit. Crit Care Clin 2000; 20: 473.
20. Wood E. Tracheostomy. In the trachea. Chest Surg Clin N Am 1996; 6: 749.
21. Goldman RK. Minimally invasive surgery - Bedside tracheostomy and gastrostomy. In Advances in critical care bedside procedures. Crit Care Clin 2000; 16: 113.
22. Heffner J. Timing of the tracheostomy in mechanically ventilated patients. Am Rev Respir Dis 1993; 147: 768.
23. Heffner J. Timing tracheostomy: candelar watching or individualization of care? Chest 1998; 114: 361.
24. Rumbak M, Graves A, Scott M. Tracheostomy tube occlusion protocol predict significant tracheal obstruction to air flow in patients requiring prolonged mechanical ventilation. Crit Care Med 1997; 25: 413.
25. Heffner J. The role of tracheostomy in weaning. Chest 2001; suppl: 120: 477S.
26. Eavey R. The evolution of tracheostomy. In: Myers EM. Tracheostomy. New York. Churchill Livingstone, 1985.
27. Wenig B, Applebaum E. Indications for and techniques of tracheostomy. Clin Chest Med 1991; 12: 45.
28. Ciaglia P, Firshing R, Suyniec C. Elective percutaneous dilatational tracheostomy, a simple bedside procedure: preliminary report. Chest 1985; 87: 715.
29. Ciaglia P, Graniero K. Percutaneous dilational tracheostomy. Results and long term follow up. Chest 1992; 101: 464.
30. Powell D, Price P, Forrest A. Review of percutaneous tracheostomy. Laryngoscope 1998; 108: 170.
31. Rodríguez J, Steinberg S, Luchetti F. Early tracheostomy for primary airway management in the surgical critical care setting. Surgery 1990; 108: 655.
32. Toursarkissian B, Zweng T, Kearney P. Percutaneous dilational tracheostomy. Report of 141 cases. Ann Thorac Surg 1994; 57: 863.
33. Cook P, Callanan V. Percutaneous dilational tracheostomy technique and experience. Anaesth Intensive Care 1989; 17: 456.
34. Wright C. Management of tracheoinnominate artery fistula. Chest Surg Clin N Am 1996; 6: 865.
35. Hazard P, Jones C. Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy. Crit Care Med 1991; 9: 1018.
36. Fernández L, Norwad S. Bedside percutaneous tracheostomy with bronchoscopic guidance in critically ill patients. Arch Surg 1992; 131: 129.
37. Stauffer J, Olson D, Petty T. Complications and consequences of endotracheal intubation and tracheostomy. Am J Med 1981; 70: 65.
38. Loh K, Irish J. Traumatic complications of intubation and other airway management procedures. Anesthesiology Clin N Am 2002; 20: 953.
39. Stackhouse R. Fiberoptic airway management. Anes Clin North Am 2002; 20: 933.
40. Grillo H, Donahue D. Postintubation tracheal stenosis. Chest Surg Clin N Am 1996; 6: 725.
41. Weiss Y, Deutschman C. The role of fiberoptic bronchoscopy in airway management of the critically ill patient. Crit Care Clin 2002; 16: 445.
42. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: a report. Anesthesiology 1993; 78: 597.
43. Dartevelle P, Macchiarini P. Management of acquired tracheoesophageal fistula. Chest Surg Clin N Am 1996; 6: 819.
44. Mathisen D. Complications of tracheal surgery. Chest Surg Clin N Am 1996; 6: 853.
45. Jacobs S, Al Rasheed A, Abdulsamat W, et al. Effects of a simple protocol on infective complications in intensive care unit patients undergoing percutaneous dilatational tracheostomy. Respir Care 2003; 48: 23.
46. Fikkers B, Briede I, Verwiel J, et al. Percutaneous tracheostomy with the Blue Rhino trade mark technique: presentation of 100 consecutive patients. Anaesthesia 2003; 58: 286.
47. Kumar M, Jaffery A, Jones M. Short-term complications of percutaneous tracheostomy: experience of a district general hospital - Otolaryngology department. J Laryngol Otol 2002; 116: 1025.
48. Khalili T, Koss W, Margulies D, et al. Percutaneous dilatational tracheostomy is as safe as open tracheostomy. Am Surg 2002; 68: 92.
49. Succo G, Crosetti E, Pecorari G, et al. Complications of tracheostomy in critically ill patients: comparison of dilation and surgical techniques. Acta Otorhinolaryngol Ital 2002; 22: 1.
50. Datta D, Onyirimba F, Mc Namee M. The utility of chest radiographs following percutaneous dilatational tracheostomy. Chest 2003; 123: 1603.
51. Koitschev A, Graumueller S, Zenner H, et al. Tracela stenosis and obliteration above the tracheostoma after percutaneous dilational tracheostomy. Crit Care Med 2003; 31: 1574.
52. Polderman K, Spijkstra J, de Bree R, et al. Percutaneous dilatational tracheostomy in the ICU: optimal organization, low complication rates, and description of a new complication. Chest 2003; 123: 1595.
53. Stripf T, Ali M, Mewes T, et al. Percutaneous dilatative tracheostomy versus conventional surgical tracheostomy: a retrospective trial. Laryngorhinootologie 2003; 82: 281.
54. Beiderlinden M, Groeben H, Peters J. Safety of percutaneous dilational tracheostomy in patients ventilated with high positive end-expiratory pressure (PEEP). Intensive Care Med 2003; 13: 20.
55. Leptidis G, Papanicolau S, Athanassiadi K, Zogby H, et al. Modified technique of percutaneous dilational tracheostomy in 600 cases. World J Surg 2002; 26: 1214.
56. Maddali M, Pratap M, Fahr J, et al. Percutaneous tracheostomy by guidewire dilating forceps technique: is bronchoscopic guidance mandatory? Middle East J Anesthesiol 2002; 16: 509.
57. Hotchkiss K, McCaffrey J. Laryngotracheal injury after percutaneous dilational tracheostomy in cadaver specimens. Laryngoscope 2003; 113: 16.
58. Fikkers B, van Heerbeek N, Krabbe P, et al. Percutaneous tracheostomy with the guide wire dilating forceps technique: presentation of 171 consecutive patients. Head Neck 2002; 24: 625.
59. Ambesh S, Pandey C, Srivastava S, et al. Percutaneous tracheostomy with single dilatation technique a prospective, randomized comparison of Ciaglia blue rhino versus Griggs´ guidewire dilating forceps. Anesth Analg 2002; 95: 1739.
60. Dollner R, Verch M, Schweiger P, et al. Long-term outcome after Griggs tracheostomy. J Otolaryngol 2002; 31: 386.
2. Hill B, Zweng T, Maley R, et al. Percutaneous dilational tracheostomy: report of 356 cases. J Trauma 1996; 40: 238.
3. Ivatury R, Siegel J, Stahl W, et al. Percutaneous tracheostomy after trauma and critical illness. J Trauma 1992; 32: 133.
4. Graham J, Mulloy R, Sutherland F, et al. Percutaneous versus open tracheostomy: a retrospective cohort outcome study. J Trauma 1996; 42: 245.
5. Heikkinen M, Aarnio P, Hannukainen J. Percutaneous dilational tracheostomy or conventional surgical tracheostomy? Crit Care Med 2000; 28: 1399.
6. Añón J, Gómez V, Escuela M, et al. Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques. Crit Care 2000; 4: 124.
7. Maziak D, Meade M, Todd T. The timing of tracheostomy. A systematic review. Chest 1998; 114: 605.
8. Van Heurn L. When and how should we do a tracheostomy? Curr Opin Crit Care 2000; 6: 267.
9. Georges H, Leroy O, Guery B, et al. Predisposing factors for nosocomial pneumonia in patients receiving mechanical ventilation and requiring tracheostomy. Chest 2000; 118: 767.
10. Trottier S, Hazard P, Sakabu S, et al. Posterior tracheal wall perforation during percutaneous dilational tracheostomy: an investigation into its mechanism and prevention. Chest 1999; 115: 1383.
11. Marx W, Ciaglia P, Graniero K. Some important details in the technique of percutaneous dilational tracheostomy via the modified Seldinger technique. Chest 1996; 110: 3.
12. Norwood S, Vallina V, Short K, et al. Incidence of tracheal stenosis and other late complications after percutaneous tracheostomy. Ann Surg 2000; 232: 2.
13. Velmahos G, Gómez H, Demetriades D, et al. Bedside percutaneous tracheostomy: prospective evaluation of a modification of the current technique in 100 patients. World J Surg 2000; 24: 1109.
14. Dulguerov P, Gysin C, et al. Percutaneous or surgical tracheostomy. A meta-analysis. Crit Care Med 1999; 4: 1617-1625.
15. Freeman B, Isabella K, et al. A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients. Chest 2000; 1412-1418.
16. Kearney P, Griffen M, Ochoa J, et al. A single center 8 year experience with percutaneous dilational tracheostomy. Ann Surg 2000; 5: 231.
17. Sandur S, Stoller J. Pulmonary complications of mechanical ventilation. Clin Chest Med 1999; 20: 223-47.
18. Mallanpati Rao. Airway management - Barash: Clinical Anesthesia, 1996; 573-594.
19. Pryor J, Reilly P, Shapiro M. Surgical airway management in the intensive care unit. Crit Care Clin 2000; 20: 473.
20. Wood E. Tracheostomy. In the trachea. Chest Surg Clin N Am 1996; 6: 749.
21. Goldman RK. Minimally invasive surgery - Bedside tracheostomy and gastrostomy. In Advances in critical care bedside procedures. Crit Care Clin 2000; 16: 113.
22. Heffner J. Timing of the tracheostomy in mechanically ventilated patients. Am Rev Respir Dis 1993; 147: 768.
23. Heffner J. Timing tracheostomy: candelar watching or individualization of care? Chest 1998; 114: 361.
24. Rumbak M, Graves A, Scott M. Tracheostomy tube occlusion protocol predict significant tracheal obstruction to air flow in patients requiring prolonged mechanical ventilation. Crit Care Med 1997; 25: 413.
25. Heffner J. The role of tracheostomy in weaning. Chest 2001; suppl: 120: 477S.
26. Eavey R. The evolution of tracheostomy. In: Myers EM. Tracheostomy. New York. Churchill Livingstone, 1985.
27. Wenig B, Applebaum E. Indications for and techniques of tracheostomy. Clin Chest Med 1991; 12: 45.
28. Ciaglia P, Firshing R, Suyniec C. Elective percutaneous dilatational tracheostomy, a simple bedside procedure: preliminary report. Chest 1985; 87: 715.
29. Ciaglia P, Graniero K. Percutaneous dilational tracheostomy. Results and long term follow up. Chest 1992; 101: 464.
30. Powell D, Price P, Forrest A. Review of percutaneous tracheostomy. Laryngoscope 1998; 108: 170.
31. Rodríguez J, Steinberg S, Luchetti F. Early tracheostomy for primary airway management in the surgical critical care setting. Surgery 1990; 108: 655.
32. Toursarkissian B, Zweng T, Kearney P. Percutaneous dilational tracheostomy. Report of 141 cases. Ann Thorac Surg 1994; 57: 863.
33. Cook P, Callanan V. Percutaneous dilational tracheostomy technique and experience. Anaesth Intensive Care 1989; 17: 456.
34. Wright C. Management of tracheoinnominate artery fistula. Chest Surg Clin N Am 1996; 6: 865.
35. Hazard P, Jones C. Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy. Crit Care Med 1991; 9: 1018.
36. Fernández L, Norwad S. Bedside percutaneous tracheostomy with bronchoscopic guidance in critically ill patients. Arch Surg 1992; 131: 129.
37. Stauffer J, Olson D, Petty T. Complications and consequences of endotracheal intubation and tracheostomy. Am J Med 1981; 70: 65.
38. Loh K, Irish J. Traumatic complications of intubation and other airway management procedures. Anesthesiology Clin N Am 2002; 20: 953.
39. Stackhouse R. Fiberoptic airway management. Anes Clin North Am 2002; 20: 933.
40. Grillo H, Donahue D. Postintubation tracheal stenosis. Chest Surg Clin N Am 1996; 6: 725.
41. Weiss Y, Deutschman C. The role of fiberoptic bronchoscopy in airway management of the critically ill patient. Crit Care Clin 2002; 16: 445.
42. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: a report. Anesthesiology 1993; 78: 597.
43. Dartevelle P, Macchiarini P. Management of acquired tracheoesophageal fistula. Chest Surg Clin N Am 1996; 6: 819.
44. Mathisen D. Complications of tracheal surgery. Chest Surg Clin N Am 1996; 6: 853.
45. Jacobs S, Al Rasheed A, Abdulsamat W, et al. Effects of a simple protocol on infective complications in intensive care unit patients undergoing percutaneous dilatational tracheostomy. Respir Care 2003; 48: 23.
46. Fikkers B, Briede I, Verwiel J, et al. Percutaneous tracheostomy with the Blue Rhino trade mark technique: presentation of 100 consecutive patients. Anaesthesia 2003; 58: 286.
47. Kumar M, Jaffery A, Jones M. Short-term complications of percutaneous tracheostomy: experience of a district general hospital - Otolaryngology department. J Laryngol Otol 2002; 116: 1025.
48. Khalili T, Koss W, Margulies D, et al. Percutaneous dilatational tracheostomy is as safe as open tracheostomy. Am Surg 2002; 68: 92.
49. Succo G, Crosetti E, Pecorari G, et al. Complications of tracheostomy in critically ill patients: comparison of dilation and surgical techniques. Acta Otorhinolaryngol Ital 2002; 22: 1.
50. Datta D, Onyirimba F, Mc Namee M. The utility of chest radiographs following percutaneous dilatational tracheostomy. Chest 2003; 123: 1603.
51. Koitschev A, Graumueller S, Zenner H, et al. Tracela stenosis and obliteration above the tracheostoma after percutaneous dilational tracheostomy. Crit Care Med 2003; 31: 1574.
52. Polderman K, Spijkstra J, de Bree R, et al. Percutaneous dilatational tracheostomy in the ICU: optimal organization, low complication rates, and description of a new complication. Chest 2003; 123: 1595.
53. Stripf T, Ali M, Mewes T, et al. Percutaneous dilatative tracheostomy versus conventional surgical tracheostomy: a retrospective trial. Laryngorhinootologie 2003; 82: 281.
54. Beiderlinden M, Groeben H, Peters J. Safety of percutaneous dilational tracheostomy in patients ventilated with high positive end-expiratory pressure (PEEP). Intensive Care Med 2003; 13: 20.
55. Leptidis G, Papanicolau S, Athanassiadi K, Zogby H, et al. Modified technique of percutaneous dilational tracheostomy in 600 cases. World J Surg 2002; 26: 1214.
56. Maddali M, Pratap M, Fahr J, et al. Percutaneous tracheostomy by guidewire dilating forceps technique: is bronchoscopic guidance mandatory? Middle East J Anesthesiol 2002; 16: 509.
57. Hotchkiss K, McCaffrey J. Laryngotracheal injury after percutaneous dilational tracheostomy in cadaver specimens. Laryngoscope 2003; 113: 16.
58. Fikkers B, van Heerbeek N, Krabbe P, et al. Percutaneous tracheostomy with the guide wire dilating forceps technique: presentation of 171 consecutive patients. Head Neck 2002; 24: 625.
59. Ambesh S, Pandey C, Srivastava S, et al. Percutaneous tracheostomy with single dilatation technique a prospective, randomized comparison of Ciaglia blue rhino versus Griggs´ guidewire dilating forceps. Anesth Analg 2002; 95: 1739.
60. Dollner R, Verch M, Schweiger P, et al. Long-term outcome after Griggs tracheostomy. J Otolaryngol 2002; 31: 386.
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Publicado
2004-06-20
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Álvarez Tamayo, A.; Samuel Rodríguez, S. R. Traqueostomía percutánea Por dilatación: Experiencia Institucional. Rev Colomb Cir 2004, 19, 92-100.
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Todos los textos incluidos en la Revista Colombiana de Cirugía están protegidos por derechos de autor. Las opiniones expresadas en los artículos firmados son las de los autores y no coinciden necesariamente con las de los directores o los editores de la Revista Colombiana de Cirugía. Las sugerencias diagnósticas o terapéuticas como elección de productos, dosificación y métodos de empleo corresponden a la experiencia y al criterio de los autores.
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