[Percutaneous endoscopic tracheostomy].
Between 6/88 and 8/89 61 critically ill patients (sepsis, ARDS, pneumonia, multiple trauma, etc.) underwent elective percutaneous endoscopic tracheostomy (PET). Following dilation up to 36 Fr. a number 6-10 tracheostomy tube was introduced. The patients were ventilated 17 (2-68 days) before and 28 (4-160) days after PET. One patient died from cardiac arrest, and in 4 patients, because of tube obstruction or cuff defect, reintubation was necessary. Additionally 2 significant infections and a minor bleeding and a emphysema occurred. Elective percutaneous tracheostomy performed in the ICU seems to be a simple and cost-effective procedure.
Paul
A
A
II. Lehrstuhl für Chirurgie, Universität zu Köln.
Marelli
D
D
Vestweber
K H
KH
Mulder
D S
DS
D003128:Coma / Q000601:surgery; D003422:Critical Care; D019723:Endoscopes; D006801:Humans; D011014:Pneumonia / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D012128:Respiratory Distress Syndrome / Q000601:surgery; D013898:Thoracic Injuries / Q000601:surgery; D014139:Tracheostomy / Q000295:instrumentation*