Predictors of difficulty in bedside percutaneous dilatational tracheostomy: pilot study

Author:

TENÓRIO LUCAS RIBEIRO1ORCID,NAKAI MARIANNE YUMI2,MORAES JÚLIO PATROCÍNIO3,MENEZES MARCELO BENEDITO2,SILVA LETÍCIA DE MELO1,PEREIRA GUILHERME PETRY MARTINS1,GONÇALVES ANTONIO JOSÉ2

Affiliation:

1. Santa Casa de São Paulo, Brazil

2. Santa Casa de São Paulo, Brazil; Irmandade da Santa Casa de Misericórdia de São Paulo, Brazil

3. Irmandade da Santa Casa de Misericórdia de São Paulo, Brazil

Abstract

ABSTRACT Introduction: percutaneous dilatational tracheostomy is currently one of the main procedures performed in an intensive care unit (ICU). However, there are no well-defined indicators of technical difficulty in performing the procedure. Objectives: to define predictors of difficulty in performing bedside percutaneous dilatational tracheostomy. Methodology: prospective cohort study encompassing 21 patients who underwent bedside percutaneous dilatational tracheostomy in the ICU at a single center. Results: Sternohyoid (SH) distance shorter than 7 cm is associated with a 50% increase in the risk of technical difficulty (OR 0.44 and p <0.03). Conclusion: the reduction in (SH) distance is related to an increased risk of difficulty in performing percutaneous dilatational tracheostomy in the ICU bed.

Publisher

FapUNIFESP (SciELO)

Subject

Surgery

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