Safety and Feasibility of Percutaneous Dilatational Tracheostomy Performed by Intensive Care Trainee
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ÀÌ´ë»ó(Lee Dae-Sang) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
Á¤Ä¡·®(Chung Chi-Ryang) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
¹Ú¼º¹ü(Park Sung-Bum) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
À¯Á¤¾Ï(Ryu Jeong-Am) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
Á¶Áß¹ü(Cho Joong-Bum) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
¾çÁ¤ÈÆ(Yang Jeong-Hoon) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
¹ÚÄ¡¹Î(Park Chi-Min) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
¼Áö¿µ(Suh Gee-Young) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
Àü°æ¸¸(Jeon Kyeong-Man) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Critical Care Medicine
Abstract
Background: Percutaneous dilatational tracheostomy (PDT) performed by an intensivist in critically ill patients is currently popular.Many studies support the safety and feasibility of PDT. However, there is limited data on the safety and feasibility of PDT performed by intensive care trainees.
Methods: To evaluate the safety and feasibility of PDT performed by intensive care trainees and to compare these with those performed by intensivists, we retrospectively analyzed the clinical characteristics and adverse events of all prospectively registered patients who underwent PDT by ICT or intensivists in intensive care units (ICUs) from August 2010 to August 2013.
Results: In the study period, 203 patients underwent PDT in ICUs; 139 (68%) by trainees and 64 (32%) by intensivists. There were no statistically significant differences in clinical characteristics including demographics, laboratory findings, and parameters of mechanical ventilation between the two groups. Procedure times and outcomes of the patients were not different between the two groups. The majority of complications observed in 24 hours after PDT were bleeding; however, there was no significant difference between the two groups (trainee 10.8% vs. intensivist 9.4%, p = 0.758). There was no procedure-related death in the two groups.
Conclusions: PDT performed by intensive care trainees was safe and feasible. However, further well-designed studies should be conducted to confirm our results.
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education, fellowship, intensive care units, surgical procedures, minimally invasive, tracheostomy
KMID :
0604020140290020064
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