Percutaneous dilatational tracheostomy in a tertiary intensive care unit: A ten-year experience from a university hospital in Türkiye

Authors : Özlem Ersoy Karka, Gizem Demir Şenoğlu, İrfan Tufan Baki, Mehmet Ali Sungur, Gülbin Sezen, Yavuz Demiraran

Pages : 416-422

Doi:10.29058/mjwbs.1809824

View : 42 | Download : 51

Publication Date : 2025-12-31

Article Type : Research Paper

Abstract :Aim: Tracheostomy provides airway patency by inserting an intratracheal cannula through a window in the anterior tracheal wall. Patients treated in intensive care units often require tracheostomy owing to prolonged endotracheal intubation and mechanical ventilation. This study aimed to evaluate the complication rates, safety, and clinical outcomes of percutaneous dilatational tracheostomy performed by anesthesiologists over a ten-year period in a tertiary intensive care unit. Material and Methods: This retrospective study was conducted between 2015 and 2024 in the Anesthesiology Intensive Care Unit of Duzce University. Among patients older than 18 years who received treatment for more than 48 h in intensive care unit, 85 who underwent bedside percutaneous dilatational tracheostomy using the Griggs technique performed by anesthesiologists were included. The patients were evaluated for demographic and clinical features, duration of ventilation and hospitalization, complications, and mortality. Results: The mean age of the patients was 72.81±16.15 years, and 65.9% were male. The most common complications were bleeding (23.5%), hypoxemia (10.6%), and pneumothorax (4.7%). None of the patients required conversion to surgical tracheostomy. Use of ultrasound, fiberoptic bronchoscopy, and laryngeal mask airway guidance was associated with a significantly lower incidence of hypoxemia (p=0.016). Conclusion: Percutaneous dilatational tracheostomy performed by anesthesiologists in the intensive care unit is a safe, practical, and effective bedside procedure, with a low rate of major complications. Ultrasound, fiberoptic bronchoscopy, and laryngeal mask airway guidance enhance procedural safety and reduce the risk of complications. Routine implementation by experienced anesthesiologists is recommended in critically ill patients requiring prolonged mechanical ventilation.
Keywords : Anesteziyolog, bronkoskopi, komplikasyonlar, laringeal maske airway, trakeostomi, ultrasonografi

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