Safety of percutaneous dilational tracheostomy in patients ventilated with high positive end-expiratory pressure (PEEP)

To assess the impact of bronchoscopically guided percutaneous dilational tracheostomy (PDT) on oxygenation in patients with severe respiratory failure ventilated with high positive end-expiratory pressure (PEEP). Prospective clinical study. Anaesthesiological ICU, referral centre for acute respirato...

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Veröffentlicht in:	Intensive care medicine 2003-06, Vol.29 (6), p.944-948
Hauptverfasser:	BEIDERLINDEN, Martin, GROEBEN, Harald, PETERS, Jiirgen
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Analysis of Variance Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Gas Analysis Bronchoscopy - adverse effects Bronchoscopy - methods Dilatation - adverse effects Dilatation - methods Emergency and intensive respiratory care Hemorrhage - etiology Humans Intensive care medicine Medical sciences Middle Aged Partial Thromboplastin Time Patient Selection Platelet Count Pneumothorax - etiology Positive-Pressure Respiration - adverse effects Positive-Pressure Respiration - methods Prospective Studies Prothrombin Time Pulmonary Gas Exchange Respiratory Insufficiency - metabolism Respiratory Insufficiency - therapy Safety Severity of Illness Index Time Factors Tracheostomy - adverse effects Tracheostomy - methods Treatment Outcome
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Beschreibung
Zusammenfassung:	To assess the impact of bronchoscopically guided percutaneous dilational tracheostomy (PDT) on oxygenation in patients with severe respiratory failure ventilated with high positive end-expiratory pressure (PEEP). Prospective clinical study. Anaesthesiological ICU, referral centre for acute respiratory distress syndrome (ARDS) therapy, university hospital. Mechanically ventilated patients with indication for PDT. Two hundred three consecutive PDTs were performed in 198 patients on either high (>10 mbar, n=88) or low (
ISSN:	0342-4642 1432-1238
DOI:	10.1007/s00134-003-1656-8