Archives of Head and Neck Surgery
https://archivesheadnecksurgery.com/article/doi/10.4322/ahns.2018.0873
Archives of Head and Neck Surgery
Original Article Larynx, Hypoharynx and Tracheal Diseases and Tumors

Bedside conventional tracheostomy

Giancarlo Artese Araujo, Antonio Augusto Tupinambá Bertelli, Helvécio de Resende Urbano Neto, Marianne Yumi Nakai, Caroline Schmiele Namur, Marcelo Benedito Menezes, Antonio José Gonçalves

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Abstract

Introduction: Tracheostomy is a very frequent procedure in Intensive Care Units and may be performed in operating room or bedside, using percutaneous techniques or conventional open tracheostomy, showing similar rates of complications. Objective: To describe the open experience of Head and Neck Surgery division of Santa Casa in São Paulo with bedside tracheostomy. Methods: A retrospective study of database tracheostomies was performed between 2013 and 2016. Then, age, gender, and main complications were analyzed. Results: Analysis of 598 patients shows 9 cases (1.50%) of complications, bleeding was the cause in 6 cases (1.0%), 1 postoperative death (0.16%), 1 accidental decannulation case (0.16%) and 1 lesion in the posterior wall of the trachea (0.16%). It is possible to accomplish bedside open tracheostomy with safety

Keywords

tracheostomy; intensive care; intraoperative complications; surgical procedures; elective; surgicenters.

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