Late outcome from percutaneous tracheostomy using the Portex kit

被引:30
作者
Leonard, RC
Lewis, RH
Singh, B
van Heerden, PV
机构
[1] Sir Charles Gairdner Hosp, Dept Intens Care, Perth, WA 6009, Australia
[2] Sir Charles Gairdner Hosp, Dept Otolaryngol, Perth, WA 6009, Australia
[3] Sir Charles Gairdner Hosp, Dept Pulm Physiol, Perth, WA 6009, Australia
关键词
tracheal stenosis; tracheostomy; percutaneous dilational;
D O I
10.1378/chest.115.4.1070
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To assess late outcome following percutaneous tracheostomy using the Porter kit (Hythe, Kent, UH). Design: Prospective observational cohort study. Setting: Teaching hospital, Patients: Forty-nine consecutive patients who underwent percutaneous tracheostomy in the ICU using the Porter kit and who survived 6 months after the procedure, Interventions: Questionnaires regarding six symptoms were sent to all 49 surviving patients; the 39 respondents were invited to attend for review. Thirteen patients underwent pulmonary function testing, of whom 10 also underwent fiber-optic laryngotracheoscopy under local anesthesia, Results: The most common symptom was a minor change in voice. One patient had required treatment for symptomatic tracheal stenosis by the time of review; one was referred for revision of a tethered scar. Pulmonary function testing was easily performed by all patients and revealed no evidence of upper airway obstruction. Tracheoscopy likewise showed no evidence of tracheal stenosis. Conclusions: One of 49 patients had developed tracheal stenosis. None of the patients attending for detailed review showed any sign of late complications other than one tethered scar.
引用
收藏
页码:1070 / 1075
页数:6
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