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Erschienen in:
01.06.2004 | Brief Report
Use of percutaneous tracheostomy in intensive care units in Spain. Results of a national survey
Erschienen in: Intensive Care Medicine | Ausgabe 6/2004
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Objectives
To assess the use of percutaneous tracheostomy in Intensive Care Units (ICU) in Spain, its practice, and current opinions on the technique.
Design and setting
An e-mail or post survey was sent to 239 Spanish ICU directors. Pediatric ICUs and coronary units were excluded.
Measurements and main results
One hundred ICUs (41.8%) replied. The 44% (n=44) of the ICUs that answered belonged to university hospitals and 53% (n=53) had postgraduate teaching. Eighty-two percent (n=82) used percutaneous tracheostomy. Griggs’ Guide Wire Dilating Forceps and Ciaglia Blue Rhino were the most frequent techniques employed. In 30.5% of ICUs (n=25) endoscopic guidance was used, in 15.7% (n= 13) it was routine. In 24.4% (n=20) some kind of long-term follow-up was carried out, but only in 12.2% (n=10) was follow-up done routinely. In 58.5% of ICUs (n=48) in which percutaneous tracheostomy is performed is this technique considered safer than surgical tracheostomy and in 86.4% (n=70) percutaneous tracheostomy is the first choice for tracheostomy in the critically ill patient.
Conclusions
Percutaneous tracheostomy is a well-established technique in ICUs in Spain, and is considered the technique of choice for tracheostomy in critically ill patients. It is mainly performed without endoscopic guidance and follow-up is not usually carried out.