A case series Percutaneus Dilatasional Tracheostomy (PDT) in Cerebrovascular Disease

Abstract

Critically ill patients with cerebrovascular disease may require airway securing management. Airway management is defined as an intervention using a technique, maneuver or a device to keep its patency, providing oxygen and removing carbon dioxide. Endotracheal intubation (ETI) and percutaneus dilatational tracheostomy (PDT)are procedure to keep the patency of airway. Percutaneous dilatational tracheostomy may decrease the risk of pneumonia and facilitate weaning ventilator. Twelve cases of PDT performed by attending senior anesthesiologist were divided into two groups, early (less than 7 days after intubation) and late (more than 7 days after intubation).There are three re-use PDT set which sterilized in CSSD unit of RSUD Ciawi and cultured by BLKK team in Jakarta. All of the PDT procedure were successfully performed without any complication and has a similar outcome in both groups. Complications and adverse consequences, which occurred during the procedures, as well as days needed to weaning ventilator, sputum and PDT instrument culture evaluation were recorded. Further studies are required to elucidate the advantage of PDT and finding the best time to perform PDT procedure in patients with cerebrovascular disease. Re use PDT set which sterilized in deconect liquid and cold themperature could be safe from bacterial infection.
 Keywords :
 cerebrovascular disease, airway management, percutaneous dilatational tracheostomy, complication