SPECIFIC FEATURES OF TRAINING IN PERCUTANEOUS DILATATION TRACHEOSTOMY IN THE INTESIVE CARE DEPARTMENT
https://doi.org/10.21292/2078-5658-2016-13-4-48-52
Abstract
The article analyzes the specific features of the training specialists in the technique of percutaneous dilatation tracheostomy (PDT) in the intensive care department. This training is divided into three stages (theory, practical demonstration, direct performance of this manipulation by the staff personnel under supervision of experienced doctors). Total number of procedures required for staff doctors to master PDT made 20 and it was accompanied by certain features which however did not cause any significant intra-operative and early post-operative complications. This is the evidence of the successful three stage training at the place of work.
About the Authors
D. A. Averyanov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Candidate of Medical Sciences, Teacher at the Department
Russian Federation
Candidate of Medical Sciences, Teacher at the Department
V. I. Shatalov
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Candidate of Medical Sciences, Teacher at the Department
Russian Federation
Candidate of Medical Sciences, Teacher at the Department
E. N. Kotov
Elizavetinskaya Hospital, St. Petersburg
Russian Federation
Head of Intensive Care Department no. 3.
Russian Federation
Head of Intensive Care Department no. 3.
E. A. Ekaterina
Elizavetinskaya Hospital, St. Petersburg
Russian Federation
Anesthesiologist and Intensive Care Physician
Russian Federation
Anesthesiologist and Intensive Care Physician
A. V. Schegolev
S. M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Doctor of Medical Sciences, Head of the Department (Head of the Clinic)
Russian Federation
Doctor of Medical Sciences, Head of the Department (Head of the Clinic)
References
1. Аverianov D.А., Dubinin А.А., Shatalov V.I. et al. Puncture dilatation tracheostomy in the patients with severe brain damage: cricostrenal distance as a predictor of contraindications. Rossiysky Neurokhirurgicheskiy Journal Im. Prof. A.L. Polenova, 2015, vol. 7, no. 1, pp. 5-9. (In Russ.)
2. Baishev S.N., Kondratiev А.N. Provision of patency of airways in neuro intensive care. Vestn. Universiteta Druzhby Narodov. Seriya: Meditsina, 2012, no. 1, pp. 101-104. (In Russ.)
3. Bogdanov V.V., Kalinkin V.P., Guzenyuk P.V., Koshevoy I.O. Percutaneous dilatation tracheostomy. Advantages, deficiencies, specific techniques. Ros. Otorinolaringologiya, 2016, vol. 82, no. 3, pp. 171-172. (In Russ.)
4. Goryachev А.S., Savin I.N., Gorshkov K.M. et al. Complications of puncture dilatation tracheostomy in neurosurgical patients. Analysis of 7 year experience of such surgeries performed in 714 adults. Vestn. Intensivnoy Terapii, 2009, no. 2, pp. 11-16. (In Russ.)
5. Zakhidov A.Ya. Percutaneous dilatation tracheostomy. Pulmonoloiya, 2009, no. 5, pp. 90-92. (In Russ.)
6. Samokhvalov I.M., Gavrilin S.V., Badalov V.I. et al. Tracheostomy in continuous artificial pulmonary ventilation in those with multiple traumas. Voen. Med. Journal, 2011, vol. 332, no. 5, pp. 20-24. (In Russ.)
7. Tkachenko E.V., Goryachev А.S., Pavlov V.E. et al. Experience of introduction of tracheostomy and results of the 1st series of 11 surgeries performed in the intesive care departments in neurological patients. Vestn. Intensivnoy Terapii, 2013, no. 2, pp. 31-36. (In Russ.)
8. Dexter T.J. A cadaver study appraising accuracy of blind placement of percutaneous tracheostomy. Anaesthesia, 1995, vol. 50, no. 10, pp. 863-864.
9. Hassanin E.G., Elgnady A.A., El-Hoshy M.S. et al. Fiberoptic bronchoscopic guidance in percutaneous dilational tracheotomy. Egypt. J. Chest Diseas. Tuberculosis, 2013, vol. 62, no. 3, pp. 519-527.
10. Reilly P.M., Sing R.F., Giberson F.A. et al. Hypercarbia during tracheostomy: a comparison of percutaneous endoscopic, percutaneous Doppler, and standard surgical tracheostomy. Intens. Care Med., 1997, vol. 23, no. 8, pp. 859-864.
Review
For citations:
Averyanov D.A., Shatalov V.I., Kotov E.N., Ekaterina E.A., Schegolev A.V. SPECIFIC FEATURES OF TRAINING IN PERCUTANEOUS DILATATION TRACHEOSTOMY IN THE INTESIVE CARE DEPARTMENT. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2016;13(4):48-52. (In Russ.) https://doi.org/10.21292/2078-5658-2016-13-4-48-52
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