Intensive Care Medicine

, Volume 21, Issue 8, pp 687–690

Safety of tracheotomy in neutropenic patients: A retrospective study of 26 consecutive cases

  • F. Blot
  • G. Nitenberg
  • M. Guiguet
  • M. Casetta
  • S. Antoun
  • J. L. Pico
  • B. Leclercq
  • B. Escudier
Brief Report

DOI: 10.1007/BF01711551

Cite this article as:
Blot, F., Nitenberg, G., Guiguet, M. et al. Intensive Care Med (1995) 21: 687. doi:10.1007/BF01711551

Abstract

Objective

To evaluate the safety of tracheotomy in neutropenic ventilated cancer patients, in terms of infectious and haemorrhagic complications.

Design

Retrospective study.

Setting

A medical-surgical intensive care unit in a Cancer-hospital.Patients and participants: 26 consecutive patients undergoing a tracheotomy in neutropenic period, from 1987 to 1990.

Interventions

Tracheotomy, performed at the bedside or in operating, room.

Measurements and results

In all neutropenic patients undergoing a tracheotomy, the characteristics and duration of both neutropenia and mechanical ventilation have been recorded. Stomal bleeding and infection, and infectious pneumonias and alveolar haemorrhage have been carefully reviewed. Platelets were transfused in 23 of the 26 patients at the time of the procedure; no local haemorrhage was observed. Neither stomal nor pulmonary infections secondary to traceotomy were noted. No respiratory worsening was attributable to the tracheotomy. Nineteen patients (73%) died in ICU, without direct link between tracheotomy and death.

Conclusions

These findings suggest that a tracheotomy can be safely performed in neutropenic patients requiring mechanical ventilation.

Key words

TracheotomyEdotracheal intubationMechanical ventilationNeutropeniaCancer

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • F. Blot
    • 1
  • G. Nitenberg
    • 1
  • M. Guiguet
    • 3
  • M. Casetta
    • 1
  • S. Antoun
    • 1
  • J. L. Pico
    • 2
  • B. Leclercq
    • 1
  • B. Escudier
    • 1
  1. 1.Intensive Care UnitInstitut Gustave RoussyVillejuifFrance
  2. 2.Bone Marrow Transplant UnitInstitut Gustave RoussyVillefuifFrance
  3. 3.INSERM U263ParisFrance