title: The role of fiberoptic bronchoscopy monitoring during percutaneous dilatational tracheostomy and its routine use into tracheotomy practice.
abstract: OBJECTIVE
  To evaluate percutaneous dilatational tracheostomy with and without the use of the bronchoscope and compare the safety and complications of the procedure.
  
  
  METHODS
  The prospective, randomised-controlled study was conducted at the Professor A. Ilhan Ozdemir State Hospital, Giresun, Turkey, between October 2013 and February 2014, and comprised patients ≥18 years of age who were dependent on mechanical ventilation for an extended duration and were scheduled to undergo percutaneous dilatational tracheostomy with Griggs technique. The patients were randomly divided into two groups; group A received standard c that was opened without using fiberoptic bronchoscopy, while group B received percutaneous dilatational tracheostomy that was opened using fiberoptic bronchoscopy. Complications and number of applied needle approaches were recorded.
  
  
  RESULTS
  Of the 60 patients, 35(58.3%) were women. The patients were divided into two groups of 30(50%) each. None of the patients developed pneumothorax, subcutaneous emphysema, or oesophageal perforation. The numbers of needle interventions and total complications were significantly higher in group A than group B (p<0.05). Procedure duration was significantly longer in group B (p<0.05).
  
  
  CONCLUSIONS
  Percutaneous dilatational tracheostomy was reliable when applied with fiberoptic bronchoscopy due to the significantly lower complication rates.
authors.affiliation: Department of Anesthesiology, Prof. Dr. A. Ilhan Ozdemir State Hospital, Anesthesiology and Reanimation, Giresun, Republic of Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Saritas
authors.affiliation: Department of Anesthesiology, Prof. Dr. A. Ilhan Ozdemir State Hospital, Anesthesiology and Reanimation, Giresun, Republic of Turkey.
authors.forename: Pelin Uzun
authors.initials: PU
authors.lastname: Saritas
authors.affiliation: Department of Anesthesiology, Prof. Dr. A. Ilhan Ozdemir State Hospital, Anesthesiology and Reanimation, Giresun, Republic of Turkey.
authors.forename: Muhammed Murat
authors.initials: MM
authors.lastname: Kurnaz
authors.affiliation: Sakarya University Faculty of Medicine, Department of Anesthesiology and Pain Medicine, Sakarya, Republic of Turkey.
authors.forename: Serbulent Gokhan
authors.initials: SG
authors.lastname: Beyaz
authors.affiliation: Department of Anesthesiology and Pain Management, Sakarya University Training and Research Hospital, Sakarya, Republic of Turkey.
authors.forename: Tolga
authors.initials: T
authors.lastname: Ergonenc
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001999:Bronchoscopy / Q000379:methods*; D016638:Critical Illness / Q000628:therapy*; D004106:Dilatation / Q000379:methods*; D004939:Esophageal Perforation / Q000453:epidemiology; D005260:Female; D005336:Fiber Optic Technology / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D019106:Postoperative Hemorrhage / Q000453:epidemiology; D012121:Respiration, Artificial; D013352:Subcutaneous Emphysema / Q000453:epidemiology; D014139:Tracheostomy / Q000379:methods*; D014140:Tracheotomy / Q000379:methods
keywords: Percutaneous tracheostomy, Fiberoptic bronchoscopy, Peroperative complications, Griggs technique, Intensive care units, Critical illness, Mechanical ventilation.