Complicações associadas à traqueostomia em pacientes adultos em unidades de terapia intensiva no período 2015-2020. Revisão sistemática
DOI:
https://doi.org/10.15649/cuidarte.2281Palavras-chave:
Traqueostomia, Complicações Intraoperatórias, Complicações Pós-Operatórias, Cuidados CríticosResumo
Introdução: Os procedimentos de traqueostomia estão aumentando nas unidades de terapia intensiva, entretanto, podem levar a complicações perioperatórias e pós-operatórias com uma incidência variável entre 5-40% e até a morte em até 1,4% dos indivíduos, apesar disso, poucos estudos abordam os conceitos causais ou fatores de risco mecânicos e não-mecânicos sobre este importante tópico. Objetivo: Rever o escopo da literatura científica disponível sobre complicações mecânicas e não mecânicas associadas à traqueostomia. Materiais e Métodos: a questão da pesquisa e critérios de inclusão foram estabelecidos para a pesquisa nas bases de dados PubMed e EBSCO entre os anos 2015-2020, como guia metodológico e de qualidade para o presente estudo foi utilizada a lista de verificação PRISMAScR. Resultados: As complicações com maior freqüência foram, sangramento 61%, estenose traqueal 28,5%, decanulação 23,6% (5/21, infecção por estoma 19%, morte 19% e dificuldade na inserção da cânula 19%, em relação aos fatores de risco mecânico, apenas o uso da técnica de Bjork Flap (OR=0,4) foi identificado como fator de proteção, entre os fatores não mecânicos foram encontrados: obesidade (OR=5,15), diâmetro da cânula >6 (OR= 2,6) e ventilação mecânica pré-operatória (OR=3,14). Conclusões: Conseguimos identificar que as complicações relacionadas à traqueostomia com maior incidência foram sangramento, estenose traqueal, decanulação acidental e morte, no entanto, ainda não se sabe se elas se originam de uma causa mecânica ou não mecânica durante a gestão dos cuidados intensivos.
Como citar este artigo: Reyes Pulido Mabel Magoth, Orozco Levi Mauricio, Ramírez Sarmiento Alba Lucía, Nariño Gamboa Angelica Julieth, Fragozo Ibarra Andry Giseth. Complicaciones en pacientes usuarios de traqueostomía en unidades de cuidados intensivos. Scoping Review. Revista Cuidarte. 2022;13(3):e2281. http://dx.doi.org/10.15649/cuidarte.2281
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Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
Affronti A, Casali F, Eusebi P, Todisco C, Volpi F, Beato V, et al. Early Versus Late Tracheostomy in Cardiac Surgical Patients: A 12-Year Single Center Experience. Journal of Cardiothoracic and Vascular Anesthesia. 2019;33(1):82-90. https://doi.org/10.1053/j.jvca.2018.05.041
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