Journal of Critical Care
Volume 24, Issue 4 , Pages 494-500 , December 2009

Fiberoptic bronchoscopy–assisted percutaneous tracheostomy is safe in obese critically ill patients: A prospective and comparative study

  • Carlos M. Romero

      Affiliations

    • Critical Care Unit, University of Chile Clinical Hospital
    • Corresponding Author InformationCorresponding author. Unidad de Pacientes Críticos, Departamento de Medicina, Hospital Clínico Universidad de Chile, Facultad de Medicina Universidad de Chile, Santos Dumont 999, Independencia, Santiago Norte, Chile. Fax: +56 2 9788264.
    • ,
  • Rodrigo A. Cornejo

      Affiliations

    • Critical Care Unit, University of Chile Clinical Hospital
    • ,
  • Mauricio H. Ruiz

      Affiliations

    • Respiratory Disease Section, Department of Internal Medicine, University of Chile Clinical Hospital, 8380430
    • ,
  • L. Ricardo Gálvez

      Affiliations

    • Critical Care Unit, University of Chile Clinical Hospital
    • ,
  • Osvaldo P. Llanos

      Affiliations

    • Critical Care Unit, University of Chile Clinical Hospital
    • ,
  • Eduardo A. Tobar

      Affiliations

    • Critical Care Unit, University of Chile Clinical Hospital
    • ,
  • Jorge F. Larrondo

      Affiliations

    • Medical Student, University of Chile Faculty of Medicine
    • ,
  • José S. Castro

      Affiliations

    • Critical Care Unit, University of Chile Clinical Hospital

References 

  1. Evans A, Tolonen H, Hense HW, et al. Trends in coronary risk factors in the WHO Monica Project. Int J Epidemiol. 2001;30(Suppl 1):S35–S40
  2. Ogden CL, Carroll MD, Curtin LR, et al. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295:1549–1555
  3. Filozof C, Gonzalez C, Sereday M, et al. Obesity prevalence and trends in Latin American countries. Obes Rev. 2001;2:99–106
  4. Akinnusi ME, Pineda LA, El Solh AA. Effect of obesity on intensive care morbidity and mortality: a meta-analysis. Crit Care Med. 2008;36:151–158
  5. Bardell T, Drover JW. Recent developments in percutaneous tracheostomy: improving techniques and expanding roles. Curr Opin Crit Care. 2005;11:326–332
  6. Frutos-Vivar F, Esteban A, Apezteguía C, et al. Outcome of mechanically ventilated patients who require a tracheostomy. Crit Care Med. 2005;33:290–298
  7. Flaatten H, Gjerde S, Heimdal JH, Aardal S. The effect of tracheostomy on outcome in intensive care unit patients. Acta Anaesthesiol Scand. 2006;50:92–98
  8. Esteban A, Ferguson ND, Meade MO, et al. Evolution of mechanical ventilation in response to clinical research. Am J Respir Crit Care Med. 2008;177:170–177
  9. Al-Ansari MA, Hijazi MH. Clinical review: percutaneous dilational tracheostomy. Crit Care. 2006;10:2002–2210
  10. Simpson T, Day C, Jewkes C, Manara A. The impact of percutaneous tracheostomy on intensive care unit practice and training. Anaesthesia. 1999;54:186–189
  11. Byhahn C, Lischke V, Meininger D, et al. Peri-operative complications during percutaneous tracheostomy in obese patients. Anaesthesia. 2005;60:12–15
  12. deBoisblanc BP. Percutaneous dilational tracheostomy techniques. Clin Chest Med. 2003;24:399–407
  13. Bercault N, Boulain T, Kuteifan K, et al. Obesity-related excess mortality rate in an adult intensive care unit: a risk-adjusted matched cohort study. Crit Care Med. 2004;32:998–1003
  14. Rumbak MJ, Newton M, Truncale T, et al. A prospective, randomized study comparing early percutaneous dilation tracheostomy to prolonged translaryngeal intubation (delayed tracheostomy) in critically ill medical patients. Crit Care Med. 2004;32:1689–1694
  15. Boynton JH, Hawkins K, Eastridge BJ, O'Keefe GE. Tracheostomy timing and the duration of weaning in patients with acute respiratory failure. Crit Care Med. 2004;8:261–267
  16. Griffiths J, Barber VS, Morgan L, Young JD. Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. BMJ. 2005;330:1243–1246
  17. El Solh AA, Jaafar W. A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients. Crit Care. 2007;11:R3
  18. Leinhardt DJ, Mughal M, Bowles B, et al. Appraisal of percutaneous tracheostomy. Br J Surg. 1992;79:255–258
  19. Hutchinson RC. Life-threatening complications from percutaneous tracheostomy. Cri Care Med. 1991;19:1220
  20. Kost KM. Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques. Crit Care. 2000;4:143–146
  21. Nates JL, Cooper J, Myles PS, et al. Percutaneous tracheostomy in critically ill patients: a prospective randomized comparison of two techniques. Crit Care Med. 2000;28:3734–3739
  22. Byhahn C, Westphal K, Meininger D, et al. Single-dilator percutaneous tracheostomy: a comparison of PercuTwist and Ciaglia Blue Rhino techniques. Intensive Care Med. 2002;28:1262–1266
  23. Byhahn C, Wilke HJ, Halbig S, et al. Percutaneous tracheostomy: Ciaglia blue rhino versus the basic ciaglia technique of percutaneous dilational tracheostomy. Anesth Analg. 2000;91:882–886
  24. Johnson JL, Cheatham ML, Sagraves SG, et al. Percutaneous dilational tracheostomy: a comparison of single- versus multiple-dilator techniques. Crit Care Med. 2001;29:1251–1254
  25. Ciaglia P, Firsching R, Sinyec C. Elective percutaneous dilatational tracheostomy: a new simple bedside procedure; preliminary report. Chest. 1985;87:715–719
  26. Paul A, Marelli D, Chiu RC, et al. Percutaneous endoscopic tracheostomy. Ann Thorac Surg. 1989;47:314–315
  27. Winkler WB, Karnik R, Seelmann O, et al. Bedside percutaneous dilational tracheostomy with endoscopic guidance: experience with 71 ICU patients. Intensive Care Med. 1994;20:476–479
  28. Bouvette M, Fuhrman TM. Preventing complications during percutaneous tracheostomy. Anesthesiology. 1999;90:918–919
  29. Kost KM. Endoscopic percutaneous dilatational tracheostomy: a prospective evaluation of 500 consecutive cases. Laryngoscope. 2007;115:1–30
  30. Aldawood AS, Arabi YM, Haddad S. Safety of percutaneous tracheostomy in obese critically ill patients: a prospective cohort study. Anaesth Intensive Care. 2008;36:69–73
  31. Bonde J, Norgaard N, Antonsen K, Faber T. Implementation of percutaneous dilation tracheostomy-value of preincisional ultrasonic examination. Acta Anaesthesiol Scand. 1999;43:163–166
  32. Hatfield A, Bodenham A. Portable ultrasonic scanning of the anterior neck before percutaneous dilatational tracheostomy. Anaesthesia. 1999;54:660–663
  33. Kollig E, Heydenreich U, Roetman B, et al. Ultrasound and bronchoscopic controlled percutaneous tracheostomy on trauma UCI. Injury. 2000;31:663–668
  34. Sustic A. Role of ultrasound in the airway management of critically ill patients. Crit Care Med. 2007;35(Suppl):S173–S177
  35. Indeck M, Peterson S, Smith J, Brotman S. Risk, cost and benefit of transporting ICU patients for special studies. J Trauma. 1988;28:1020–1025
  36. Kollef MH, Von Harz B, Prentice D, et al. Patient transport from intensive care increases the risk of developing ventilator-associated pneumonia. Chest. 1997;112:765–773
  37. Waydhas C, Schneck G, Duswald KH. Deterioration of respiratory function after intra-hospital transport of critically ill surgical patients. Intensive Care Med. 1995;21:784–789
  38. Beckmann U, Gillies DM, Berenholtz SM, et al. Incidents relating to the intra-hospital transfer of the critically ill patients. An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. Intensive Care Med. 2004;30:1579–1585
  39. Freeman BD, Isabella K, Lin N, Buchman TG. A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients. Chest. 2000;118:1412–1418
  40. Freeman BD, Isabella K, Cobb JP, et al. A prospective, randomized study comparing percutaneous with surgical tracheostomy in critically ill patients. Crit Care Med. 2001;29:926–930
  41. Blankenship DR, Gourin CG, Davis WB, et al. Percutaneous tracheostomy: don't beat them, join them. Laryngoscope. 2004;114:1517–1521
  42. Barba CA, Angood PB, Kauder DR, et al. Bronchoscopic guidance makes percutaneous tracheostomy a safe, cost-effective, and easy-to-teach procedure. Surgery. 1995;118:879–883
  43. Baccheta MD, Girardi LN, Southard EJ, et al. Comparison of open versus bedside percutaneous dilatational tracheostomy in the cardiothoracic surgical patient: outcomes and financial analysis. Ann Thorac Surg. 2005;79:1879–1885
  44. Higgins KM, Punthakee X. Meta-analysis comparison open versus percutaneous tracheostomy. Laringoscope. 2007;117:447–454
  45. Heyrosa MG, Melniczek DM, Rovito P, Nicholas GG. Percutaneous tracheostomy: a safe procedure in the morbidly obese. J Am Coll Surg. 2006;202:618–622
  46. Mansharamani NG, Koziel H, Garland R, et al. Safety of bedside percutaneous dilatational tracheostomy in obese patients in the ICU. Chest. 2000;117:1426–1429
  47. Unwin S, Short S, Hunt P. Percutaneous dilational tracheostomy in the morbidly obese. Anaesthesia. 2000;55:393–394
  48. Scott MJ, Leigh J. Percutaneous tracheostomy in three morbidly obese patients using the Blue Rhino™ technique. Anaesthesia. 2000;55:917–919
  49. Massick DD, Powell DM, Price PD, et al. Quantification of the learning curve for percutaneous dilatational tracheostomy. Laryngoscope. 2000;110:222–228
  50. Ben Nun A, Altman E, Best LA. Extended indications for percutaneous tracheostomy. Ann Thorac Surg. 2005;80:1276–1279
  51. Blankenship DR, Kulbersh BD, Gourin CG, et al. High-risk tracheostomy: exploring the limits of the percutaneous tracheostomy. Laryngoscope. 2005;115:987–989
  52. De Leyn P, Bedert L, Delcroix M, et al. Tracheotomy: clinical review and guidelines. Eur J Cardiothorac Surg. 2007;32:412–421

☆ The authors declare that they have no competing interest. This study was not supported by a medical company.

PII: S0883-9441(08)00137-8

doi: 10.1016/j.jcrc.2008.06.001

Journal of Critical Care
Volume 24, Issue 4 , Pages 494-500 , December 2009

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