TY - JOUR ID - 241473 TI - Performing Percutaneous Dilational Tracheostomy without using Fiberoptic Bronchoscope JO - TANAFFOS (Respiration) JA - RSPR LA - en SN - 1735-0344 AU - Yaghoubi, Siamak AU - Massoudi, Nilofar AU - Fathi, Mohammad AU - Nooraei, Navid AU - Beygom Khezri, Marzieh AU - Abdollahi, Sareh AD - Department of Anaesthesiology, Qazvin University of Medical Sciences, Qazvin, Iran, AD - Clinical Research and Development Unit at Shahid Modarres Hospital, Department of Anaesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran., AD - Critical Care Quality Improvement Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., AD - Clinical Research and Development Unit at Shahid Modarres Hospital, Department of Anaesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Y1 - 2020 PY - 2020 VL - 19 IS - 1 SP - 60 EP - 65 KW - Percutaneous dilatation tracheostomy KW - fiberoptic bronchoscopic guidance KW - outcomes DO - N2 - Background: Percutaneous tracheostomy is an elective method that is increasingly being taken up in the intensive care unit alongside the patient's bed. In many centers, bronchoscopy is used, but the necessity of using bronchoscopy in percutaneous tracheostomy has not yet been determined. Discontinuing use of bronchoscopy can potentially reduce the cost and increase the efficiency of percutaneous tracheostomy. Therefore, in this study, we performed a percutaneous dilatational tracheostomy without using fiberoptic bronchoscopy. Materials and Methods: This study was performed as a descriptive epidemiological survey among 70 patients in Shahid Rajaei Hospital of Qazvin in 2015 and 2016. The results were assessed in the patients. Results: In this study, pneumothorax, trauma, major and minor bleeding, cuff leak and change to surgical procedures as well as accidental extubation were not seen. However, subcutaneous emphysema, mal-position and hypoxia each were seen in one patient (1.4%). Conclusion: Totally the results demonstrated that percutaneous dilatation tracheostomy without fiberoptic bronchoscopic guidance is useful and safe. UR - https://www.tanaffosjournal.ir/article_241473.html L1 - https://www.tanaffosjournal.ir/article_241473_5c313c21070e1bde1474af02a4914b6a.pdf ER -