Universität zu Köln

Riekert, Maximilian, Kreppel, Matthias, Schminke, Philipp, Weckx, Annelies, Zoller, Joachim E. and Schick, Volker C. (2021). Retrospective analysis of open bedside tracheotomies in a German tertiary care university hospital. J. Cranio-MaxilloFac. Surg., 49 (2). S. 140 - 146. EDINBURGH: CHURCHILL LIVINGSTONE. ISSN 1878-4119

Full text not available from this repository.

Abstract

Objective: Open surgical tracheotomy performed beside (STB) is a standardized procedure in critical ill patients. The aim of the study was to evaluate perioperative complications and the safety of STB in a tertiary care university hospital setting. Materials and methods: Intra- and postoperative complications were retrospectively recorded and associations based on the evaluation of clinical and laboratory parameters were studied using regression analyses. Results: A total of 562 patients were included. Early tracheotomy shortened ventilation time after tracheotomy (ventilation before STB <= 5 days: mean 9.2 +/- 9.1 days; ventilation before STB >= 6 days: mean 11.5 +/- 10.5 days, p = 0.0001). Overall complications were found in 30/562 cases (5.3%), major complications in 12/562 cases (2.1%). Significant risk factors for overall tracheotomy related complications were higher body mass index (odds ratio [OR] 1.04, 95% confidence interval [CI] 1.01-1.07, p = 0.02), lower CRP (OR 0.99, CI 0.99-1.00, p = 0.03), higher INR (OR 5.67, CI 1.27-25.34, p = 0.02), longer duration of operation (OR 1.03, CI 1.00-1.06, p = 0.04) and tracheotomy during extracorporeal membrane oxygenation (ECMO) support (OR 6.26, CI 1.21-32.44, p = 0.03). Conclusion: STB represents a safe surgical procedure, also suitable for patients with an increased risk profile. Careful evaluation of individual risk factors should be favored to reduce procedure related complications. (C) 2021 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Riekert, Maximilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreppel, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Schminke, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Weckx, Annelies UNSPECIFIED UNSPECIFIED UNSPECIFIED Zoller, Joachim E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schick, Volker C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-565563
DOI:	10.1016/j.jcms.2020.12.010
Journal or Publication Title:	J. Cranio-MaxilloFac. Surg.
Volume:	49
Number:	2
Page Range:	S. 140 - 146
Date:	2021
Publisher:	CHURCHILL LIVINGSTONE
Place of Publication:	EDINBURGH
ISSN:	1878-4119
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PERCUTANEOUS DILATATIONAL TRACHEOSTOMY; COMPLICATIONS; RISK; EFFICACY Multiple languages Dentistry, Oral Surgery & Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56556