alexa

GET THE APP

Modified Method of Tracheostomy in ICU Patients in “Heratsi” No.1 Hospital | OMICS International| Abstract
ISSN: 2376-032X

JBR Journal of Interdisciplinary Medicine and Dental Science
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Research Article   
  • J Interdiscipl Med Dent Sci 2018, Vol 6(1): 1
  • DOI: 10.4172/2376-032X.1000226

Modified Method of Tracheostomy in ICU Patients in “Heratsi” No.1 Hospital

Anna Yu Poghosyan1*, Malkhasyan IE2, Shahparonyan RG1, Manucharyan GK2 and Tadevosyan AE3
1Department of Maxillofacial and ENT Surgery, "Heratsi" №1 University Hospital, Yerevan State Medical University, 60 Abovyan Str., Yerevan, Armenia
2Department of Anesthesiology and Reanimatology, "Heratsi" №1 University Hospital, Yerevan State Medical University, 60 Abovyan Str., Yerevan, Armenia
3Department of Public Health and Healthcare, "Heratsi" №1 University Hospital, Yerevan State Medical University, 2 Koryun Str., Yerevan, Armenia
*Corresponding Author : Anna Yu Poghosyan, Department of Maxillofacial and ENT Surgery, "Heratsi" No.1 University Hospital, Yerevan State Medical University, Yerevan, Armenia, Tel: +374 91 474 169, Email: [email protected]

Received Date: Dec 13, 2017 / Accepted Date: Jan 17, 2018 / Published Date: Jan 24, 2018

Abstract

Long-term mechanical ventilation is the most common situation for which tracheostomy is indicated for patients in intensive care units (ICUs). The ideal techniques for tracheostomy have been topics of considerable debate. The new modified method of surgical tracheostomy is presented with compare of the classical surgical tracheostomy (CST) and PDT techniques.
Clinical trial with external control was providing in “Heratsi” No.1 Hospital Complex Intensive Care Unit (ICU). The study was carried out on 65 patients who underwent modified method of surgical tracheostomy by Poghosyan (Main Group) and Control Group was created collecting clinical data from medical records of 53 patients who underwent the Classical Surgical Tracheostomy (CST) (Group B), and 28 patients who underwent the Percutaneus DilatationTracheostomy (PDT) (Group C). Early and intermediate complications of each method of tracheostomy were analyzed for results interpretation. Group A (PMST) had less early complications- 1.5% (1 death because of apnoea) compare to Group B (CST) 49% (26 early complications including 2 deaths) and Group C (PDT)-25% (7 complications without death).
There was no tracheostomy related mortality in intermediate stage of post-operation care in any group. Also there was less intermediate complications rate in PMST Group compare to CST Group (1 vs. 19) and PDT Group (1 vs. 5).
In our study PMST demonstrated less intraoperative and intermediate complications in compare with CST and PDT. As an open surgical method it could be used in cases, when PDT is contraindicated, but in compare with CST it is minimal invasive, without any incision of subcutaneous soft tissues and with aesthetic results similar to PDT.

Keywords: Tracheostomy; ICU; Stroke; Percutaneus Dilatational Tracheostomy

Citation: Poghosyan AY, Malkhasyan IE, Shahparonyan RG, Manucharyan GK, Tadevosyan AE (2018) Modified Method of Tracheostomy in ICU Patients in “Heratsi” No.1 Hospital. J Interdiscipl Med Dent Sci 6: 226. Doi: 10.4172/2376-032X.1000226

Copyright: © 2018 Poghosyan AY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Top