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PercuTwist-Dilatationstracheotomie

Prospektive Evaluation an 54 konsekutiven Patienten

PercuTwist dilational tracheostomy

Prospective evaluation of 54 consecutive patients

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Zusammenfassung

Hintergrund

Die perkutane Dilatationstracheotomie (PDT) ist in der Intensivmedizin weit verbreitet. Die verschiedenen Verfahren sind mit einer geringen Komplikationsrate verbunden. Kürzlich wurde eine PDT unter Verwendung eines Schraubendilatators (PercuTwist®) vorgestellt. In der vorliegenden prospektiven Studie wird das Verfahren in den Händen eines mit allen PDT-Methoden vertrauten Teams evaluiert.

Patienten und Methoden

Die Untersuchung wurde an 54 konsekutiven Intensivpatienten vorgenommen. Der Eingriff erfolgte unter endoskopischer Kontrolle. Kreislauf- und Oxygenierungsparameter sowie perioperative Komplikationen wurden erfasst.

Ergebnisse

Es wurden keine schweren oder lebensbedrohlichen Komplikationen beobachtet. Eine postoperative Blutung erforderte am 5. Tag nach PDT eine operative Revision.

Schlussfolgerungen

Die PercuTwist®-Methode ist in den Händen eines in der PDT erfahrenen Teams ein sicheres, bettseitig anwendbares Verfahren. Für eine umfassende Beurteilung sind prospektive randomisierte Studien erforderlich.

Abstract

Background

Percutaneous dilational tracheostomy (PDT) is considered to be an accepted method in intensive care patients. In 2002 Frova and Quintel described a method of dilation that employed controlled rotation of the PercuTwist® dilational device. The goal of the present study was to evaluate the new technique employed by an experienced team.

Patients and methods

Prospective, observational clinical study in 54 intensive care patients who required PDT. All tracheostomies were accompanied by bronchoscopic control. Vital parameters and perioperative complications were registered.

Results

In all 54 consecutive PercuTwist tracheostomies no severe complications were noted. Accidental tracheal ring fracture was noted in 7 patients while bleeding that needed surgical care occurred in 1 patient.

Conclusion

The PercuTwist tracheostomy is a safe procedure for intensive care patients. More prospective studies that would compare the PercuTwist tracheostomy with the other PDT methods are necessary.

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Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen.

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Authors and Affiliations

  1. Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Klinikum der Ernst-Moritz-Arndt-Universität Greifswald

    M. Gründling, S-O. Kuhn, J. Nees, K. Westphal, D. Pavlovic, M. Wendt & F. Feyerherd

  2. Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Ernst-Moritz-Arndt-Universität Greifswald, Fr.-Loeffler-Strasse 23, 17487, Greifswald

    M. Gründling

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  1. M. Gründling
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  2. S-O. Kuhn
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  3. J. Nees
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  4. K. Westphal
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  5. D. Pavlovic
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  6. M. Wendt
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  7. F. Feyerherd
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Correspondence to M. Gründling.

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Gründling, M., Kuhn, SO., Nees, J. et al. PercuTwist-Dilatationstracheotomie. Anaesthesist 53, 434–440 (2004). https://doi.org/10.1007/s00101-004-0665-5

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  • DOI: https://doi.org/10.1007/s00101-004-0665-5

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