Death after percutaneous dilatational tracheostomy: A systematic review and analysis of risk factors
Critical Care, ISSN: 1364-8535, Vol: 17, Issue: 5, Page: R258
2013
- 143Citations
- 148Captures
- 4Mentions
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations143
- Citation Indexes138
- CrossRef138
- 137
- Policy Citations3
- Policy Citation3
- Clinical Citations2
- PubMed Guidelines2
- Captures148
- Readers148
- 148
- Mentions4
- References3
- Wikipedia3
- News Mentions1
- News1
Most Recent News
Ultrasound Guided Percutaneous Tracheostomy
STUDY INFORMATION OFFICIAL TITLE: Comparison of 3 Techniques for Percutaneous Tracheostomy : Traditional Marking Technique, Ultrasonography Guided Long Axis Approach and Short Axis Approach CURRENT
Article Description
Introduction: Since the introduction and widespread acceptance of percutaneous techniques in the intensive care unit (ICU) setting, the number of critically ill patients undergoing tracheostomy has steadily increased. However, this procedure can be associated with major complications, including death. The purpose of this study is to estimate the incidence and analyze the causes of lethal complications due to percutaneous dilatational tracheostomy (PDT).Methods: We analyzed cases of lethal outcome due to complications from PDT including cases published between 1985 and April 2013. A systematic literature search was performed and unpublished cases from our own departmental records were retrospectively analyzed.Results: A total of 71 cases of lethal outcome following PDT were identified including 68 published cases and 3 of our own patients. The incidence of lethal complications was calculated to be 0.17%. Of the fatal complications, 31.0% occurred during the procedure and 49.3% within seven days of the procedure. The main causes of death were: hemorrhage (38.0%), airway complications (29.6%), tracheal perforation (15.5%), and pneumothorax (5.6%). We found specific risk factors for complications in 73.2% of patients, 25.4% of patients had more than one risk factor. Bronchoscopic guidance was used in only 46.5% of cases.Conclusions: According to this analysis, PDT-related death occurs in 1 out of 600 patients receiving a PDT. Careful patient selection, bronchoscopic guidance, and securing the tracheal cannula with sutures are likely to reduce complication rates. © 2013 Simon et al.; licensee BioMed Central Ltd.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84886424431&origin=inward; http://dx.doi.org/10.1186/cc13085; http://www.ncbi.nlm.nih.gov/pubmed/24168826; https://ccforum.biomedcentral.com/articles/10.1186/cc13085; https://dx.doi.org/10.1186/cc13085; http://www.ccforum.com/content/17/5/R258; https://ccforum.biomedcentral.com/track/pdf/10.1186/cc13085; https://ccforum.biomedcentral.com/counter/pdf/10.1186/cc13085; http://ccforum.com/content/17/5/R258; http://ccforum.biomedcentral.com/articles/10.1186/cc13085
Springer Science and Business Media LLC
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