Traqueotomía Percutánea (II) con seguridad para el paciente crítico: Checklist, ecografía y fibrobroncoscopio
DOI:
https://doi.org/10.30445/rear.v4i4.369Palabras clave:
Checklist, Formación,, Traqueostomía, Ventilación mecánicaResumen
En 1.998 apareció un set para Traqueotomía Percutánea por Dilatación (TPD) conocido como Ciaglia Blue Rhino®, que esencialmente consiste en una modificación del método de Ciaglia original, y que se caracteriza por presentar un único dilatador curvo con un recubrimiento hidrofílico que reduce el coeficiente de fricción y que permite crear el traqueostoma en un único paso.
En una entrada anterior hemos hablado ya de la historia, los distintos métodos y sets para realizar una TPD, las indicaciones, contraindicaciones y complicaciones de la técnica.
En esta entrada:
- Presentaremos el Checklist que hemos confeccionado en nuestro centro y que revisamos antes a la realización de una Traqueotomía Percutánea por Dilatación (TPD) en la Unidad de Reanimación, válido para cualquiera de los modelos existentes en el mercado.
- Describiremos la técnica que seguimos en nuestro centro usando el dispositivo Blue Rhino®.
Citas
1.- Byhahn C, Lischke V, Scheifler G, Westphal K. Ciaglia blue rhino: a modified technique for percutaneous dilatation tracheostomy. Technique and early clinical results. Anaesthesist. 2000 Mar;49(3):202-6.
2.- Pablo Jorge Monjas, César Aldecoa-Álvarez Santullano. Dispositivos de Abordaje Percutáneo. Documentos ESRA.
3.- Rakesh Bhandary, Niraj Niranjan. Anaesthesia Tutorial of the Week (ATOTW). TRACHEOSTOMY. ANAESTHESIA TUTORIAL OF THE WEEK 241, 17TH OCTOBER 2011. World Federation of Societies of Anaesthesiologists
4.- Susarla SM,Peacock ZS,Alam HB. Percutaneous Dilatational Tracheostomy: Review of Technique and Evidence for Its Use. J Oral Maxillofac Surg.2011 Aug 4. [Epub ahead of print].
5.- Muhammad JK, Patton DW, Evans RM, Major E. Percutaneous dilatational tracheostomy under ultrasound guidance. Br J Oral Maxillofac Surg. 1999 Aug;37(4):309-11.
6.- (Rajajee V, Fletcher JJ, Rochlen LR, Jacobs TL. Real-time ultrasound-guided percutaneous dilatational tracheostomy: a feasibility study. Crit Care. 2011;15(1):R67. Epub 2011 Feb 22.
7.- Marelli D, Paul A, Manolidis S, Walsh G, Odim JN, Burdon TA, Shennib H, Vestweber KH, Fleiszer DM, Mulder DS: Endoscopic guided percutaneous tracheostomy:early results of a consecutive trial. J Trauma 1990,30:433-435.
8.- Winkler WB, Karnik R, Seelmann O, Havlicek J, Slany J. Bedside percutaneous dilational tracheostomy with endoscopic guidance: experience with 71 ICU patients. Intensive Care Med. 1994 Aug;20(7):476-9.
9.- Barba CA, Angood PB, Kauder DR, Latenser B, Martin K, McGonigal MD, Phillips GR, Rotondo MF, Schwab CW: Bronchoscopic guidance makes percutaneous tracheostomy a safe, cost-effective, and easy-to-teach procedure. Surgery 1995, 118:879-883.
10.- Fernandez L, Norwood S, Roettger R, Gass D, Wilkins H 3rd. Bedside percutaneous tracheostomy with bronchoscopic guidance in critically ill patients. Arch Surg. 1996 Feb;131(2):129-32.
11.- Hinerman R, Alvarez F, Keller CA. Outcome of bedside percutaneous tracheostomy with bronchoscopic guidance. Intensive Care Med. 2000 Dec;26(12):1850-6.
12.- Kost KM. Endoscopic percutaneous dilatational tracheotomy: a prospective evaluation of 500 consecutive cases. Laryngoscope. 2005 Oct;115(10 Pt 2):1-30.
13.- Reilly PM, Anderson HL III, Sing RF, Schwab CW, Bartlett RH: Occult hypercarbia. An unrecognized phenomenon during percutaneous endoscopic tracheostomy. Chest 1995, 107:1760-1763.
14.- Peerless JR, Snow N, Likavec MJ, Pinchak AC, Malangoni MA. The effect of fiberoptic bronchoscopy on cerebral hemodynamics in patients with severe head injury. Chest. 1995 Oct;108(4):962-5.
15.- Kerwin AJ, Croce MA, Timmons SD, Maxwell RA, Malhotra AK, Fabian TC. Effects of fiberoptic bronchoscopy on intracranial pressure in patients with brain injury: a prospective clinical study. J Trauma. 2000 May;48(5):878-82; discussion 882-3.
16.- Kocaeli H, Korfali E, Taşkapilioğlu O, Ozcan T. Analysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care unit. Acta Neurochir (Wien). 2008 Dec;150(12):1263-7; discussion 1267. Epub 2008 Nov 11.
2.- Pablo Jorge Monjas, César Aldecoa-Álvarez Santullano. Dispositivos de Abordaje Percutáneo. Documentos ESRA.
3.- Rakesh Bhandary, Niraj Niranjan. Anaesthesia Tutorial of the Week (ATOTW). TRACHEOSTOMY. ANAESTHESIA TUTORIAL OF THE WEEK 241, 17TH OCTOBER 2011. World Federation of Societies of Anaesthesiologists
4.- Susarla SM,Peacock ZS,Alam HB. Percutaneous Dilatational Tracheostomy: Review of Technique and Evidence for Its Use. J Oral Maxillofac Surg.2011 Aug 4. [Epub ahead of print].
5.- Muhammad JK, Patton DW, Evans RM, Major E. Percutaneous dilatational tracheostomy under ultrasound guidance. Br J Oral Maxillofac Surg. 1999 Aug;37(4):309-11.
6.- (Rajajee V, Fletcher JJ, Rochlen LR, Jacobs TL. Real-time ultrasound-guided percutaneous dilatational tracheostomy: a feasibility study. Crit Care. 2011;15(1):R67. Epub 2011 Feb 22.
7.- Marelli D, Paul A, Manolidis S, Walsh G, Odim JN, Burdon TA, Shennib H, Vestweber KH, Fleiszer DM, Mulder DS: Endoscopic guided percutaneous tracheostomy:early results of a consecutive trial. J Trauma 1990,30:433-435.
8.- Winkler WB, Karnik R, Seelmann O, Havlicek J, Slany J. Bedside percutaneous dilational tracheostomy with endoscopic guidance: experience with 71 ICU patients. Intensive Care Med. 1994 Aug;20(7):476-9.
9.- Barba CA, Angood PB, Kauder DR, Latenser B, Martin K, McGonigal MD, Phillips GR, Rotondo MF, Schwab CW: Bronchoscopic guidance makes percutaneous tracheostomy a safe, cost-effective, and easy-to-teach procedure. Surgery 1995, 118:879-883.
10.- Fernandez L, Norwood S, Roettger R, Gass D, Wilkins H 3rd. Bedside percutaneous tracheostomy with bronchoscopic guidance in critically ill patients. Arch Surg. 1996 Feb;131(2):129-32.
11.- Hinerman R, Alvarez F, Keller CA. Outcome of bedside percutaneous tracheostomy with bronchoscopic guidance. Intensive Care Med. 2000 Dec;26(12):1850-6.
12.- Kost KM. Endoscopic percutaneous dilatational tracheotomy: a prospective evaluation of 500 consecutive cases. Laryngoscope. 2005 Oct;115(10 Pt 2):1-30.
13.- Reilly PM, Anderson HL III, Sing RF, Schwab CW, Bartlett RH: Occult hypercarbia. An unrecognized phenomenon during percutaneous endoscopic tracheostomy. Chest 1995, 107:1760-1763.
14.- Peerless JR, Snow N, Likavec MJ, Pinchak AC, Malangoni MA. The effect of fiberoptic bronchoscopy on cerebral hemodynamics in patients with severe head injury. Chest. 1995 Oct;108(4):962-5.
15.- Kerwin AJ, Croce MA, Timmons SD, Maxwell RA, Malhotra AK, Fabian TC. Effects of fiberoptic bronchoscopy on intracranial pressure in patients with brain injury: a prospective clinical study. J Trauma. 2000 May;48(5):878-82; discussion 882-3.
16.- Kocaeli H, Korfali E, Taşkapilioğlu O, Ozcan T. Analysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care unit. Acta Neurochir (Wien). 2008 Dec;150(12):1263-7; discussion 1267. Epub 2008 Nov 11.
Publicado
2012-04-30
Cómo citar
Martínez Hurtado, E., Olivas García, E., Martínez Fariñas, P., Bernardino Santos, M., & García del Valle y Manzano, S. (2012). Traqueotomía Percutánea (II) con seguridad para el paciente crítico: Checklist, ecografía y fibrobroncoscopio. Revista Electrónica AnestesiaR, 4(4), 4. https://doi.org/10.30445/rear.v4i4.369
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