[Tracheotomy as a bedside procedure in the Intensive Care Unit: is it safe?].
BACKGROUND
The authors would like to present the problem of performing bedside tracheotomy in the Intensive Care Unit. The tracheotomy have been done in the highly specific group in poor or fatal general condition, so the complication rate according to the general status of the patients is discussed.


METHODS
92 patients were treated with tracheotomy between I 2003-XII 2005 and in this number 13 complications occurred. The general status of the patients (shock, stroke, sepsis, pneumonia, hypoalbuminemy) in the time of procedure was taken into consideration.


RESULTS
In early complications dominated the bleeding--in 7 patients (7.9%) and wound infections--in 4 patients. Tracheal strictures, the only late complication found in our group, were stated during the follow up period in 2 patients (1.1%). The time of performing the tracheotomy i.e. day of the intubation (range from 0-13; mean--5.7) and day of the decaniulation (range from 3-65; mean--16) were analyzed.


CONCLUSIONS
Tracheotomy performed in the Intensive Care Unit as a bedside procedure is safe, quick and effective. Complication rate in the group of patients in poor general condition is comparable both to the average population and to the percutaneous technique.
Wierzbicka
Małgorzata
M
Klinika Otolaryngologii i Onkologii Laryngologicznej AM w Poznaniu.
Pastusiak
Tomasz
T
Stryjakowska
Ksenia
K
Smuszkiewicz
Piotr
P
Szyfter
Witold
W
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology*; D012720:Severity of Illness Index; D013530:Surgical Wound Infection / Q000209:etiology*; D014140:Tracheotomy / Q000009:adverse effects*