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1 "surgical procedures, minimally invasive"
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Original Article
Pulmonary/Surgery
Safety and Feasibility of Percutaneous Dilatational Tracheostomy Performed by Intensive Care Trainee
Daesang Lee, Chi Ryang Chung, Sung Bum Park, Jeong Am Ryu, Joongbum Cho, Jeong Hoon Yang, Chi Min Park, Gee Young Suh, Kyeongman Jeon
Korean J Crit Care Med. 2014;29(2):64-69.   Published online May 31, 2014
DOI: https://doi.org/10.4266/kjccm.2014.29.2.64
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  • 9 Crossref
AbstractAbstract PDF
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.

Citations

Citations to this article as recorded by  
  • Comparison of Conventional Surgical Tracheostomy and Percutaneous Dilatational Tracheostomy in the Neurosurgical Intensive Care Unit
    Sungdae Lim, Hyun Park, Ja Myoung Lee, Kwangho Lee, Won Heo, Soo-Hyun Hwang
    Korean Journal of Neurotrauma.2022; 18(2): 246.     CrossRef
  • Prediction of successful de-cannulation of tracheostomised patients in medical intensive care units
    Chul Park, Ryoung-Eun Ko, Jinhee Jung, Soo Jin Na, Kyeongman Jeon
    Respiratory Research.2021;[Epub]     CrossRef
  • Severe pain-related adverse events of percutaneous dilatational tracheostomy performed by a neurointensivist compared with conventional surgical tracheostomy in neurocritically ill patients
    Yong Oh Kim, Chi Ryang Chung, Chi-Min Park, Gee Young Suh, Jeong-Am Ryu
    BMC Neurology.2020;[Epub]     CrossRef
  • Is percutaneous dilatational tracheostomy with bronchoscopic guidance better than without?
    Jinsun Chang, Hong-Joon Shin, Yong-Soo Kwon, Yu-Il Kim, Sung-Chul Lim, Tae-Ok Kim
    Acute and Critical Care.2020; 35(2): 127.     CrossRef
  • Safety and feasibility of ultrasound-guided insertion of peripherally inserted central catheter performed by an intensive care trainee
    Yongwoo Lee, Jeong-Am Ryu, Yong Oh Kim, Eunmi Gil, Young-Mok Song
    Journal of Neurocritical Care.2020; 13(1): 41.     CrossRef
  • Safety and Feasibility of Percutaneous Dilatational Tracheostomy Performed by a Neurointensivist Compared with Conventional Surgical Tracheostomy in Neurosurgery Intensive Care Unit
    John Kwon, Yong Oh Kim, Jeong-Am Ryu
    Journal of Neurointensive Care.2019; 2(2): 64.     CrossRef
  • Safety and Feasibility of Percutaneous Dilatational Tracheostomy in the Neurocritical Care Unit
    Dong Hyun Lee, Jin-Heon Jeong
    Journal of Neurocritical Care.2018; 11(1): 32.     CrossRef
  • Percutaneous Dilatational Tracheostomy in Critically Ill Patients Taking Antiplatelet Agents
    Sung-Jin Nam, Ji Young Park, Hongyeul Lee, Taehoon Lee, Yeon Joo Lee, Jong Sun Park, Ho Il Yoon, Jae Ho Lee, Choon-Taek Lee, Young-Jae Cho
    Korean Journal of Critical Care Medicine.2014; 29(3): 183.     CrossRef
  • Is Percutaneous Dilatational Tracheostomy Safe to Perform in the Intensive Care Unit?
    Jae Hwa Cho
    Korean Journal of Critical Care Medicine.2014; 29(2): 57.     CrossRef

ACC : Acute and Critical Care