Percutaneous dilatational tracheostomy in patients with head and neck tumors: literature review and institutional experience
Open Access
- 11 April 2020
- journal article
- Published by Publishing House ABV Press in Head and Neck Tumors (HNT)
- Vol. 10 (1), 47-54
- https://doi.org/10.17650/2222-1468-2020-10-1-47-54
Abstract
Introduction. Patients with head and neck tumors are often require tracheostomy. This procedure represents complex surgical manipulation and is associated with risk of certain complications, including life-threatening. The study objective is to essess the results of percutaneous tracheostomy with the new SafeTrach technique. Materials and methods. The study included 21 patients. All patients had a tracheostomy performed using the SafeTrach technique. Results. Mean duration of tracheostomy with SafeTrach technique was 11.8 ± 3.4 minutes independently of patients’ body mass index or previous treatment (correlation coefficients r = 0.08, p = 0.7 and r = 0.08, p = 0.73, respectively). Among all possible complications of tracheostomy only 1 (4.7 %) case of bleeding in postoperative period was noted in our study. Conclusion. The SafeTrach technique combines all the benefits of open and percutaneous tracheostomy. It is characterized by simplicity, it does not require endoscopic control, that indicates the feasibility of its widespread implementation.Keywords
This publication has 13 references indexed in Scilit:
- Tracheostomy Tube Displacement: An Update on Emergency Airway ManagementIndian Journal of Respiratory Care, 2017
- Clinical assessment scoring system for tracheostomy (CASST) criterion: Objective criteria to predict pre-operatively the need for a tracheostomy in head and neck malignanciesJournal of Cranio-Maxillofacial Surgery, 2016
- A new safe and cost-effective percutaneous dilatational tracheotomy: SafeTrachActa Oto-Laryngologica, 2016
- An overview of complications associated with open and percutaneous tracheostomy proceduresInternational Journal of Critical Illness and Injury Science, 2015
- Death after percutaneous dilatational tracheostomy: a systematic review and analysis of risk factorsCritical Care, 2013
- Case of difficult tracheostomy tube insertion: A novel yet simple solution to the dilemmaAnesthesia: Essays and Researches, 2013
- Tracheostomy in Head and Neck CancersAn International Journal of Otorhinolaryngology Clinics, 2010
- Bleeding around a tracheostomy wound: what to consider and what to do?The Journal of Laryngology & Otology, 2009
- Conventional surgical tracheostomy as the preferred method of airway managementJournal of Oral and Maxillofacial Surgery, 1999
- Anesthetic management of the patient scheduled for head and neck cancer surgeryJournal of Clinical Anesthesia, 1994