Safety of percutaneous tracheostomy in patients with stroke

Methods Were examined 2 groups of patients with stroke who underwent tracheostomy overlay. In group 1 (68 patients) included patients who underwent percutaneous dilated tracheostomy imposed, in group 2 (65 patients) which has been imposed surgical tracheostomy. The conditions for inclusion was the lack of lifethreatening dislocation syndrome associated with cerebral edema. Imposition of percutaneous tracheostomy was considered impossible in poor expression of anatomical landmarks (most often associated with obesity patients). Dilated tracheostomy superimposed using sets Rȕsh or Portex. Endoscopic percutaneous tracheostomy support overlay was performed in 7 patients (10.3%) in the presence of partial difficulties in determining the anatomical landmarks. The severity of the condition and the severity of neurological deficit at the time of imposition of tracheostomy was in group 1 were respectively: SOFA 3,5 ± 1,8 points, CGS 10,0 ± 3,0 points in group 2: SOFA 3,6 ± 1, 8 points, CGS 10,0 ± 3,0 points (no statistically significant difference). Were analyzed early complications and outcome indicators such as intensive care mortality and outcome of coma, estimated by CGO.