+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Risk factors associated with bleeding during and after percutaneous dilational tracheostomy



Risk factors associated with bleeding during and after percutaneous dilational tracheostomy



Anaesthesia 62(4): 342-346



We evaluated the effect of pre-operative coagulation status on the incidence of acute and chronic bleeding in 415 consecutive patients undergoing percutaneous dilational tracheostomy. The incidence of acute bleeding was independent of the coagulation variables tested. The risk of chronic bleeding was higher with an activated partial thromboplastin time above 50 s (OR 3.7 (95% CI 1.1-12.7); NNT 18.4 (95% CI 9.0-infinity); p = 0.04), a platelet count below 50 x 10(9) l(-1) (OR 5.0 (95% CI 1.4-17.2); NNT 12.3 (95% CI 6.2-833.3); p = 0.01) and in the presence of two or more abnormal coagulation variables (OR 9.5 (95% CI 2.3-34.7); NNT 6.2 (95% CI 3.2-68); p = 0.002). Low-dose heparin treatment did not significantly increase the risk of chronic bleeding.

(PDF emailed within 0-6 h: $19.90)

Accession: 055579559

Download citation: RISBibTeXText

PMID: 17381569

DOI: 10.1111/j.1365-2044.2007.04979.x


Related references

Risk Factors Associated With Bleeding During and After Percutaneous Dilational Tracheostomy. Survey of Anesthesiology 52(6): 278-279, 2008

Ultrasound-guided percutaneous dilational tracheostomy versus bronchoscopy-guided percutaneous dilational tracheostomy in critically ill patients (TRACHUS): a randomized noninferiority controlled trial. Intensive Care Medicine 42(3): 342-351, 2016

Bedside Video-Assisted Percutaneous Dilational Tracheostomy: Trujillo MH, Mendoza A, Fragachan C, De Sousa A Bedside video-assisted percutaneous dilational tracheostomy J Intensive Care Med 1999,14 151-153. Journal of Intensive Care Medicine 14(3): 151-153, 1999

Use of low dose of rFVIIa (recombinant Factor VII activated) to control late bleeding after percutaneous dilational tracheostomy. Clinical Case Reports 7(4): 665-667, 2019

Prospective randomized comparison of progressive dilational vs forceps dilational percutaneous tracheostomy. Anaesthesia and Intensive Care 34(1): 51-54, 2006

Risk factors for bleeding complications after percutaneous dilatational tracheostomy: a ten-year institutional analysis. Anaesthesia and Intensive Care 44(2): 227-236, 2016

The current status of percutaneous dilational tracheostomy: an alternative to open tracheostomy. Journal of Oral and Maxillofacial Surgery 56(5): 681-5; Discussion 685-6, 1998

Bedside percutaneous tracheostomy: a prospective randomised comparison of PercuTwist versus Griggs' forceps dilational tracheostomy. Anaesthesia and Intensive Care 39(2): 209-216, 2011

Tracheostomy under jet-ventilation - An alternative approach to ventilating patients undergoing surgically created or percutaneous dilational tracheostomy. Middle East Journal of Anesthesiology 19(4): 803-818, 2008

Percutaneous tracheostomy: ciaglia blue rhino versus the basic ciaglia technique of percutaneous dilational tracheostomy. Anesthesia and Analgesia 91(4): 882-886, 2000

Surgical tracheostomy versus percutaneous dilational tracheostomy in patients with anterior cervical spine fixation: preliminary report. Spine 27(17): 1942-5; Discussion 1945, 2002

Percutaneous dilational tracheostomy or conventional surgical tracheostomy?. Critical Care Medicine 28(5): 1399-1402, 2000

Early percutaneous dilational tracheostomy does not lead to an increased risk of surgical site infection following anterior spinal surgery. Journal of Trauma and Acute Care Surgery 82(2): 383-386, 2016

Early percutaneous dilational tracheostomy does not lead to an increased risk of surgical site infection following anterior spinal surgery: Erratum. Journal of Trauma and Acute Care Surgery 84(4): 679-679, 2018

Percutaneous dilational tracheostomy vs. open tracheostomy. Chest 120(4): 1423-1424, 2001