A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management

Batian Lubis; Dis Bima P  Purwaamidjaja; Mayang Indah Lestari; Faisal; Muhammad Husni Thamrin; Febri Akhmad Belinda

doi:10.47353/jsocmed.v2i12.108

A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management

Batian Lubis
Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Universitas Sumatera Utara
Dis Bima P Purwaamidjaja
Department of Anaesthesiology and Intensive Care, Gatot Subroto Army Hospital
Mayang Indah Lestari
Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Universitas Sriwijaya
Faisal
Department of Anaesthesia and Intensive Therapy, Faculty of Medicine, Hasanudin University
Muhammad Husni Thamrin
Department of Anaesthesia and Intensive Therapy, Faculty of Medicine, Sebelas Maret University, Surakrata
Febri Akhmad Belinda
Department of Anaesthesiology and Intensive Care, Muntilan Hospital

Abstract

Introduction: Percutaneous Dilatational Tracheotomy (PDT) is a procedure established for the management of airway and ventilation in the medium to long term for critically ill patients in the ICU. Bleeding is one of the most frequent early complications of tracheostomy. The comorbid conditions of critically ill patients increase the risk of bleeding complications. The aim of this case was to identify factors that increase the risk of bleeding complications in critically ill patients undergoing Percutaneous Dilatational Tracheostomy (PDT) and its management

Case: Two cases of patients experiencing bleeding complications after PDT were reported. The bleeding in these patients were suspected to be caused by coagulation disorders due to sepsis and chronic kidney disease. The bleeding occurred on day-1 and 2 post-PDT procedure. Bleeding complications that were not resolved with general management were managed by subcutaneous suturing in the anatomical region of branching arteries and veins that supply the trachea.

Conclusion: Bleeding after PDT are a part of early complications of tracheostomy procedures. This complication is more often found in critically ill patients. Management can be carried out by suturing the anatomical region of branching arteries and veins supplying the trachea.

Similar Articles

Bastian Lubis, Putri Amelia, Muhammad Akil, Vincent Viandy, Ade Winata, Yohanes WH George, Early Continuous Renal Replacement Therapy In Patients With St-Elevation Myocardial Infarction And Covid-19 After Percutaneous Coronary Intervention: A Case Report , Journal of Society Medicine: Vol. 1 No. 2 (2022): November
T. Abdul Karim, Dadik Wahyu Wijaya, Rr Sinta Irina, Relationship Blood Gas Analysis And Hemostasis Physics In Multiple Trauma Patients In Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
Grace Nikensari, Ali Nafiah Nasution, Abdullah Afif Siregar, Monocyte to High-Density Lipoprotein Ratio (MHR) as A Predictor of Major Cardiovascular Events in Acute Myocardial Infarction Patients with ST-Segment Elevation in Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Central General Hospital , Journal of Society Medicine: Vol. 3 No. 5 (2024): May
Al-Ma’ Arij Akbar Lubis, Cut Aryfa Andra, Andre Pasha Ketaren, Relationship between QTc interval prolongation and mortality of acute ischaemic stroke patients during treatment and three months after treatment at Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 3 (2024): March
Har Rawishwar Singh Dhilion, Ali Nafiah Nasution, Andika Sitepu, Association between Systemic Inflammatory Immunity Index and Intracoronary Thrombus Burden in Acute Myocardial Infarction with ST Segment Elevation (IMA EST) Patients Undergoing Primary Percutaneous Coronary Intervention at Haji Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 2 (2024): February
Defriyan Ramzi, Refli Hasan, Zainal Safri, Relationship between Atherogenic Index of Plasma (AIP) and Mayor Cardiovascular Event (MACE) in Patients with Acute Myocardial Infarction (IMA) with Percutaneous Coronary Intervention (PCI) in Haji Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 5 (2024): May
Mohammed Habib, Rosuvastatin Plus N Acetylcysteine to Prevention of Contrast Induced Acute Kidney Injury in Patients with Low Mehran Risk Score , Journal of Society Medicine: Vol. 3 No. 6 (2024): June
Siti Alimahtun Sodiah Chaniago, Iskandar Nasution, Irina Kemala Nasution, The Association of Nutrition Status Towards The Outcome of Acute Ischemic Stroke Patients with Type-2 Diabetes Mellitus , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
Muhammad Ihsan, Nizam Zikri Akbar, Hilfan Ade Putra Lubis, Relationship Between P Wave Peak Time In Leads II And V1 With Left Ventricle Diastolic Function In Hypertension Patients , Journal of Society Medicine: Vol. 2 No. 6 (2023): June
Akbar Sinaga, Refli Hasan, Abdul Halim Reynaldo, Harris Hasan, Nizam Zikri Akbar, Cut Aryfa Andra, Association of Triglyceride/High Density Lipoprotein Cholesterol Ratio and Coronary Lesion Severity in Acute Myocardial Infarction Patients at Adam Malik Hospital, Medan , Journal of Society Medicine: Vol. 2 No. 3 (2023): March

1 2 3 4 5 6 7 8 9 > >>

You may also start an advanced similarity search for this article.

PDF

Published at

31. December 2023
https://doi.org/10.47353/jsocmed.v2i12.108
Issue:

Vol. 2 No. 12 (2023): December
Section:

Articles
Keywords:

Percutaneous dilated tracheostomy (PDT) Bleeding Critically ill patients
References:

Esperanza JA, Pelossi P, Blanch L. What’s new in intensive care: tracheostomy-what is known and what remains to be determined. Intensive Care Med. 2019; 45: 1619-21.

Vivar FF, Esteban A, Empaire GD. Outcome of mechanically ventilated patients who require a tracheostomy. Crit Care Med. 2005; 33 (2): 290-8.

Leyn PD, Bedert L, Delcroix M. Tracheotomy: clinical review and guidelines. Eur J Cardiothorac Surg. 2007; 32 (3): 412-21.

Kost MK. Endoscopic percutaneous dilatational tracheotomy: a prospective evaluation of 500 consecutive cases. Laryngoscope. 2005; 115: 1-30.

Trouillet JL, Collange O, Belafia F. Tracheotomy in the intensive care unit: guidelines from a French expert panel. Ann Intensive Care. 2018; 8 (1): 15-37.

Deppe AC, Kuhn E, Scherener M. Coagulation disorders do not increase the risk for bleeding during percutaneous dilatatinal tracheotomy. Thorac Cardiovasc Surg. 2013; 63 (1): 234-39.

Lusebrink E, Krogman A, Tietz F, et all. Percutaneous dilatational tracheotomy in high-risk ICU patients. Annals of Intensive Care. 2021; 11 (1): 116.

Knipping S, Schmidt A, Friedrich S. Dilatational tracheotomy in head and neck surgery. Laryngorhinootologie. 2016; 95 (1): 29-36.

Klotz R, Probst P, Deininger M. Percutaneous versus surgical strategy for tracheostomy: a systematic review and meta-analysis of perioperative and postoperative complications. Langenbecks Arch Surg. 2018; 403 (2): 137-149.

Lusebrink E, Stark K, Bertlich M. Safety of percutaneous dilatational tracheotomy in patients on dual antiplatelet therapy and anticoagulation. Crit Care Exp. 2019; 1 (10): 10.

Pilarczyk K, Haake N, Dudasova M. Risk factors for bleeding complications after percutaneous dilatational tracheostomy: a ten-year institutional analysis. Anaesth Intensive Care. 2016; 44 (2): 227-36.

Nam SJ, Park JY, Lee H. Percutaneous Dilatational Tracheostomy in Critically Ill Patients Taking Antiplatelet Agents. The Korean Journal of Critical Care Medicine. 2014; 29 (3): 183-8.

Sasane SP, Telang MM, Alrais ZF. Percutaneous Tracheostomy in Patients at High Risk of Bleeding Complications: A Retrospective Single-center Experience. Indian J Crit Care Med. 2020; 20 (4): 90-4.

Sibbing D, Aradi D, Alexopoulos D. Updated expert consensus statement on platelet function and genetic testing for guiding P2Y12 receptor inhibitor treatment in percutaneous coronary intervention. JACC Cardiovasc Interv. 2019; 12 (16): 1521-37.

Kujovich, JL. Coagulopathy in liver disease: a balancing act. Hematology Am Soc Hematol Educ Program. 2015; 2015: 243-9.

Genga KR, Russel JA. Coagulation Abnormalities in Sepsis. Critical Care Nephrology. 2019: 508: 517e3.
Share:

Z

Lubis, B., Purwaamidjaja, D. B. P. ., Lestari, M. I., Faisal, Thamrin, M. H., & Belinda, F. A. (2023). A Case Series of Bleeding Complication Post Percutaneous Dilatational Tracheostomy and Management. Journal of Society Medicine, 2(12), 425–431. https://doi.org/10.47353/jsocmed.v2i12.108