ĐÁNH GIÁ KẾT QUẢ MỞ KHÍ QUẢN BẰNG PHƯƠNG PHÁP NONG QUA DA TẠI TRUNG TÂM CẤP CỨU A9 – BỆNH VIỆN BẠCH MAI

Abstract

Objectives: Evaluate the results of percutaneous dilatational tracheotomy at Emergency center – Bach Mai hospital. Methods: Prospectively descriptive study with 23 patients required prolonged mechanical ventilator support who were indicated percutaneous dilatational tracheotomy by Single dilator technique at emergency center – Bach Mai hospital from 08/2022 to 08/2023. Results: There were 23 patients in the study group with 16 males and 7 females. Mean age was 67 years. Prolonged mechanical ventilator support was 60.9% and other causes was 39.1%. Mean procedure time was 7.9 minutes and duration of intubation before PDT was 7.8 days. Common commorbidities included hypertension (56.5%, 13/23), diabetes mellitus (47.8%, 11/23). The success rate of the method was 100%. The rate of encountering difficulties during the procedure is 13%, most of which are difficulties in the procedure of puncture (13%, 3/23) and guidewire insertion (8.7%, 2/23). The procedure was more difficult in the group with neck circumference > 50cm and sternomental distance < 11.2cm. Conclusion: Percutaneous dilatational tracheotomy is is safe and effective in patients anticipated in need of prolonged mechanical ventilation or other cases requiring a tracheostomy