• J. Cardiothorac. Vasc. Anesth. · Jun 2018

    Observational Study

    Bleeding Complications Associated With Percutaneous Tracheostomy Insertion in Patients Supported With Venovenous Extracorporeal Membrane Oxygen Support: A 10-Year Institutional Experience.

    • Natalie Kruit, Kamen Valchanov, Gregoire Blaudszun, Jo-Anne Fowles, and Alain Vuylsteke.
    • Department of Anaesthesia and Intensive Care, Papworth Hospital NHS Foundation Trust, Cambridge, UK. Electronic address: nattiejpk@gmail.com.
    • J. Cardiothorac. Vasc. Anesth. 2018 Jun 1; 32 (3): 1162-1166.

    ObjectivesTo evaluate the bleeding complications associated with percutaneous tracheostomy while a patient is receiving venovenous extracorporeal membrane oxygen (VV ECMO) support.DesignRetrospective, observational analysis.SettingSingle-center, tertiary, academic institution.ParticipantsAll consecutive patients on VV ECMO over a 10 year-period undergoing percutaneous tracheostomy.InterventionsPercutaneous tracheostomy.Measurements And Main ResultsFifty percutaneous tracheostomies were performed in patients requiring VV ECMO support over the 10-year period. The authors observed a 40% incidence of bleeding, with 32% of these incidences characterized as minor (self-limiting, localized stomal ooze) and 8% characterized as significant (necessitating surgical control and frequent packing or accompanied by a decrease in hemoglobin >20%).ConclusionsBleeding is associated with percutaneous tracheostomy and is self-limiting in the majority of patients.Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

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