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European Journal of Trauma and Emergency Surgery

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01-10-2013 | Original Article

Percutaneous dilatational tracheostomies in a newly established trauma center: a report from Qatar

Authors: A. Parchani, R. Peralta, A. El-Menyar, M. Tuma, A. Zarour, S. Kumar, H. Abdulrahman, Y. AbdulRahman, H. Al-Thani, R. Latifi

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2013

Abstract

Background

Percutaneous dilatational tracheostomy (PDT) is a routine surgical procedure for critically ill patients who require prolonged ventilatory support.

Methods

We conducted a retrospective cohort study of all PDTs performed at the adult Trauma Intensive Care Unit (TICU) of Hamad Medical Corporation in Doha, Qatar, from January 2009 through September 2012. For all adult patients, we analyzed the demographic characteristics, mean ventilator time before the procedure, injury severity score (ISS), complications, and outcomes.

Results

Of the 1,442 trauma patients admitted to the adult TICU during our study period, 124 (8.5 %) underwent PDT using the Ciaglia Blue Rhino technique. The vast majority were male (94.3 %). The mean age was 35 ± 15.6 years; mean ventilator time before the procedure, 12 ± 3 days; and mean ISS, 24.2 ± 9.3. More than half of patients had head injury (56 %), followed by chest and abdomen (26 %) and cervical spine injuries (18 %). Early complications included difficult tube placement (0.8 %), hypoxemia (0.8 %), minor bleeding (1.6 %), and hypotension (0.8 %), but the vast majority (93 %) of patients had no complications. The procedure-related mortality rate was 0 %.

Conclusion

PDT is safe and can be performed with minimal complications even in a newly established trauma center.

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Title: Percutaneous dilatational tracheostomies in a newly established trauma center: a report from Qatar
Authors: A. Parchani
R. Peralta
A. El-Menyar
M. Tuma
A. Zarour
S. Kumar
H. Abdulrahman
Y. AbdulRahman
H. Al-Thani
R. Latifi
Publication date: 01-10-2013
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2013
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-013-0299-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Percutaneous dilatational tracheostomies in a newly established trauma center: a report from Qatar

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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