중환자실에서의 기관절개술

• 영문명: A Tracheotomy in the Intensive Care Unit
• 발행기관: 대한두경부종양학회
• 저자명: 조강한(Kang Han Cho) 임도형(Do Hyung Lim) 이규석(Kyu Suk Lee) 백상흠(Sang Heum Paik) 양훈식(Hoon Shik Yang) 김춘길(Chu
• 간행물 정보: 『대한두경부종양학회지』제18권 제1호, 71~75쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2002.05.30

영문 초록

Background and Objectives: The tracheotomy is one of the most essential surgical procedures performed in the intensive care unit (ICU). The tracheal stenosis, as a complication following endotracheal intubation or tracheotomy, has been the subject of considerable recent investigation. Many different methods have been developed to avoid the tracheal stenosis but there is still controversy about the tracheal incisions. We had performed tracheotomy using a vertical elliptical tracheal incision in the ICU to evaluate its efficiency and safety. Materials and Methods: 191 patients who underwent the tracheotomy in the ICU between 1995 and 2000 were reviewed retrospectively by chart records and interviews. Results: The complications were reported such as bleeding, infection, subcutaneous emphysema, pneumothorax, tracheoesophageal fistula and tracheal stenosis. The total numbers of complications were 35 cases (18.3%) and the tracheal stenosis was developed in 4 patients. The characteristics of tracheal stenosis are as follows. Conclusion: The vertical elliptical tracheal incision is the safe and reliable methods in ICU patients compared with other methods, but other factors are also important in preventing the complications.

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키워드

기관절제술 중환자실 기관 협착 Tracheotomy ICU Tracheal stenosis