HIỆU QUẢ VÀ TÍNH AN TOÀN CỦA KỸ THUẬT MỞ KHÍ QUẢN XUYÊN DA NONG TẠI BỆNH VIỆN NGUYỄN TRI PHƯƠNG

Abstract

Background: The percutaneous dilatational tracheostomy (PDT) technique has been widely applied globally. However, data on the effectiveness and safety of this technique in Vietnam have remained limited. This study aim to evaluate the effectiveness and safety of the PDT technique. Methods: There was a retrospective cross-sectional study on 60 patients (mean age 65.57 ± 17.84, male/female 56.7/43.3%) with indication for PDT at Nguyen Tri Phuong Hospital from June 2023 to March 2024. Patient’s information and medical history were collected, and then PDT was performed. Vital signs, early (within 24 hours) and late (>24 hours after surgery) complications, and the outcome of the surgery was recorded.
Results: Mean surgical time was 5.53 ± 0.57 minutes. Variables that changed significantly in a positive direction before and after surgery included pulse (91.43 ± 15.38 vs. 88.35 ± 10.68 beats/minute, p = 0.037), SpO2 (98.08 ± 1.17 vs. 98.58 ± 1.52%, p = 0.005), and ETCO2 (48.18 ± 3.80 vs. 42.43 ± 4.42 mmHg, p < 0.001). The postoperative complications rate was 11,6%, including early complications (3.3%) and late complications (8.3%). There were 55.0% of patients discharged without removing the cannula, 1.7% were discharged with the cannula removed, and 43.3% died. All patients who died were due to underlying diseases, not PDT complications. Conclusion: PDT is a highly effective and safe technique for being trained and widely applied in medical facilities.