Your browser doesn't support javascript.
loading
Utility of percutaneous dilatational tracheostomy in the inmediate postoperative period of liver transplant.
Royo-Villanova Reparaz, Mario; Andreu Soler, Enriqueta; Sánchez Cámara, Silvia; Herrera Cateriano, Gustavo A; Ruiz Rodriguez, Ana; Martinez Martinez, María; Moreno Flores, Alba.
Afiliación
  • Royo-Villanova Reparaz M; Unidad de Medicina Intensiva, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España. Electronic address: mariorvr@hotmail.com.
  • Andreu Soler E; Unidad de Medicina Intensiva, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.
  • Sánchez Cámara S; Unidad de Medicina Intensiva, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.
  • Herrera Cateriano GA; Unidad de Medicina Intensiva, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.
  • Ruiz Rodriguez A; Unidad de Medicina Intensiva, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.
  • Martinez Martinez M; Unidad de Medicina Intensiva, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.
  • Moreno Flores A; Unidad de Medicina Intensiva, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.
Cir Esp ; 93(2): 91-6, 2015 Feb.
Article en En, Es | MEDLINE | ID: mdl-25214168
OBJECTIVE: To determinate the safety of percutaneous dilatational tracheostomy (PDT) on hepatic allograft recipients. PATIENTS AND METHODS: We reviewed the records of patients who underwent liver transplantation between October 2007 and April 2013, followed by PDT. In this time period, 25 liver recipients underwent PDT in our intensive care unit. We recorded severity index scores such as APACHE II and SAPS II, number of days since intubation, ratios of PaO2/FiO2 (arterial oxygen pressure to fraction of inspired oxygen), coagulation study findings, complications, and procedure-related mortality rates. We compared these records with the general ICU population and literature reports. RESULTS: The median age was 58 (IC range 47-65) and 64% were men. The median time since intubation to PDT was 11 days (IC range 6.5-15.5) and from transplant to PDT 12 days. The median ratio of PaO2/FiO2 was 212 (IC range 177-259). The median platelet count was 89 (IC range 37-149), significantly lower than the general ICU population (272 (IC range 186-381) P=.001). Complications were infrequent and included clinically remarkable major bleeding 8% (vs. 0,3% in general ICU population; P=.005), peristomal infection (4%) and ventilator-associated pneumonia 16% (vs. 2,8% in general ICU population; P=.007). There were no deaths associated with the procedures. CONCLUSION: PDT was tolerated well in recipients of liver allografts and had a relatively low risk of major complications and a low procedure-related mortality rate.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Posoperatorios / Traqueostomía / Trasplante de Hígado Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Cir Esp Año: 2015 Tipo del documento: Article Pais de publicación: España
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Posoperatorios / Traqueostomía / Trasplante de Hígado Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Es Revista: Cir Esp Año: 2015 Tipo del documento: Article Pais de publicación: España