Author/Authors :
AL DAWOOD, ABDULAZIZ King Saud Bin Abdulaziz University - Critical Care Fellowship Program, Saudi Arabia , AL DAWOOD, ABDULAZIZ King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , HADDAD, SAMEER King Abdulaziz Medical City - Intensive Care Dept, Saudi Arabia , ARABI, YASEEN King Abdulaziz Medical City - Intensive Care Department, Saudi Arabia , DABBAGH, OUSAMA King Abdulaziz Medical City - Intensive Care Dept, Saudi Arabia , COOK, DEBORAH J McMaster University - Dept of Med, Canada
Abstract :
The safety and complications of percutaneous tracheostomy (PT) without bronchoscopic guidance in a group of ICU patients with thrombocytopenia platelet count of 60.000/mm3) or coagulopathy (INR 1.5 or systemic heparinization), was studied. During the study period (May 2004-June 2005), 190 percutaneous tracheostomies were performed. Of these there were 11 (6%) patients with prolonged INR, 7 (4%) patients with thrombocytopenia and 14 (7%) patients on systemic heparin. There was no evidence of bleeding in patients with prolonged INR. A minor bleeding developed in only one patient with thrombocytopenia, and in two patients receiving systemic heparin. The PT was aborted for one patient with thrombocytopenia and slight increase of INR (1.3) due to major bleeding in spite of transfusion of both platelets and FFP. Our data suggest the incidence of bleeding is low in patients with coagulopathy and or thrombocytopenia-undergoing PT without bronchoscopic guidance
Keywords :
percutaneous tracheostomy , coagulopathy , thrombocytopenia , complications , Saudi Arabia
