Comparison of Two Suctioning Methods on Body Temperature in Patients After Percutaneous Tracheostomy: A Retrospective Cohort Study
DOI:
https://doi.org/10.54097/vbhtmh35Keywords:
Percutaneous Tracheostomy, Fiberoptic Bronchoscopy, Body Temperature, White Blood Cells, C-reactive ProteinAbstract
Background/Objective: To compare the changes in body temperature, C-reactive protein (CRP), and white blood cell count within 24 hours after percutaneous tracheostomy with conventional suction versus fiberoptic bronchoscopy suction in patients. Methods: From April 2024 to February 2025,67 patients who underwent conventional suction and 64 patients who underwent fiberoptic bronchoscopy suction after percutaneous tracheostomy were selected. The changes in body temperature, white blood cell count, and CRP before and 24 hours after surgery were observed. Results: Both groups showed an increase in body temperature post-surgery compared to pre-surgery (P<0.05), but the body temperature of the experimental group did not exceed 38°C, and no fever was observed. The white blood cell count increased in both groups, with a statistically significant difference (P<0.05). However, there was no statistically significant difference in CRP levels between the two groups (P>0.05). Conclusion: Patients who underwent fiberoptic bronchoscopy suction after percutaneous tracheostomy had more stable body temperatures, making it a clinically viable option for promotion and application.
Downloads
References
[1] Longfei Guo,Dongquan Zhang,Quanhong Wang,Hao Li. Comparative Study of Percutaneous Tracheostomy with Ultrasound-Assisted and Fiberoptic Bronchoscopy.Chin Arch Otolaryngol Head Neck Surg.2024,31 (01):63-65.
[2] Dabo Lan, Yue Zheng, Tong Lin. Analysis of the Application Value of Fiberoptic Bronchoscope in Percutaneous Tracheostomy. Zhejiang Trauma Surg, 2023, 28 (08):1527-1529.
[3] Youssef, Tarek F,Ahmed, Mohamed Rifaat,Saber, Aly. Percutaneous dilatational versus conventional surgical tracheostomy in intensive care patients.N Am J Med Sci. 2011, 3(11): 508-512. DOI: https://doi.org/10.4297/najms.2011.3508
[4] Mirski MA, PandianV, Bhatti N, Haut E,Feller-Kopman D, Morad A, Haider A,Schiavi A, Efron D,Ulatowski J. Safety, efficiency, and cost effectiveness of a multidisciplinary percutaneous tracheostomy program.Crit Care Med, 2012, 40 (6):1827-1834. DOI: https://doi.org/10.1097/CCM.0b013e31824e16af
[5] Klotz, Rosa,Klaiber, Ulla,Grummich, Kathrin,Probst, Pascal,Diener, Markus K.,Buechler, Markus W., Knebel, Phillip.Percutaneous versus surgical strategy for tracheostomy: protocol for a systematic review and meta-analysis of perioperative and postoperative complications.Syst Rev. 2015,4(1):105-110. DOI: https://doi.org/10.1186/s13643-015-0092-5
[6] Delaney A, Bagshaw SM,Nalos M.Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients:A systematic review and meta-analysis.Crit Care. 2006, 10:R55. DOI: https://doi.org/10.1186/cc4887
[7] Koksal GM,Sayilgan NC,Oz H.Percutaneous dilatational tracheostomy.Middle East Journal of Anesthesiology,2006, 18 (5): 903-910.
[8] Saritas, Aykut, Saritas, Pelin Uzun,Kurnaz, Muhammed Murat, Beyaz, Serbulent Gokhan,Ergonenc, Tolga.The role of fiberoptic bronchoscopy monitoring during percutaneous dilatational tracheostomy and its routine use into tracheotomy practice [J]. J Pak Med Assoc, 2016(66): 83-89.
[9] Chang, Jinsun,Shin, Hong-Joon,Kwon, Yong-Soo, Kim, Yu-Il,Lim, Sung-Chul, Kim, Tae-Ok. Is percutaneous dilatational tracheostomy with bronchoscopic guidance better than without [J]. Acute and Critical Care, 2020, 35(2): 127-129. DOI: https://doi.org/10.4266/acc.2020.00101
[10] Zhizhen Lai , Jianbiao Meng ,Mahong Hu ,Chunlian Ji ,Xiujuan Xu, Geng Zhang . Comparison of Surgical Complications Between Fiberoptic Bronchoscopy Guidance and Conventional Percutaneous Transluminal Tracheostomy// Zhejiang Medical Association, Zhejiang Medical Association Critical Care Medicine Branch, Zhejiang Physicians Association Critical Care Medicine Branch. Proceedings of the Fourth National Academic Conference on Critical Cardiology and the Fifth West Lake Critical Care Medicine Conference, 2019 Zhejiang Provincial Academic Conference on Critical Care Medicine (Critical Cardiology-Heart and Cardiovascular Organs). Department of Critical Care Medicine, Zhejiang Provincial Tongde Hospital; 2019:4.
[11] Zhanqu Zhang ,Huafeng Sun ,Wenyi Jiang . Application of Percutaneous Rotational Dilatation Tracheostomy under Fiberoptic Bronchoscopy in the Intensive Care Unit. Journal of Emergency Medicine of Lingnan, 2017,22 (01):71-73.
[12] Hongfa Chen , Chenfa Liu , Bohui Yao , Pengfei Li, Zhichao Wu . Study on improving the safety of percutaneous tracheal dilation and incision by fiberoptic bronchoscopy. Medical Information, 2024,37 (16):72-75.
[13] Abdulla, S.,Conrad, A., Vielhaber, S., Eckhardt, R., Abdulla, W. Should a percutaneous dilational tracheostomy be guided with a bronchoscope. B-ENT.2013,9(3):227-234.
[14] Jieqiong Song, Lizhen Xuan, Wei Wu, Duming Zhu, Yijun Zheng. Comparison of percutaneous dilatationaltracheostom yguided by ultrasound and bronchoscopy in critically Ill obese patients. J Ultrasound Med, 2018, 37(5): 1061-1069. DOI: https://doi.org/10.1002/jum.14448
[15] Cobo P, Vetter-Laracy S, Beltran E, Peña-Zarza JA, Figuerola J and Osona B. Utility of fberoptic bronchoscopy for diffcult airway in neonates. Matern Fetal Neonatal Med 2021; 34: 2754- 2757. DOI: https://doi.org/10.1080/14767058.2019.1670801
[16] Xuqing Ji ,Hongjie Tong , Chenlin Jiang ,Jirun Chen . The value of early bronchoscopy in preventing pulmonary infection in severe craniocerebral surgery patients Value. Chinese Journal of Clinical Physicians (Electronic Edition), 2021,15 (03):182-186.
[17] Yu Zeng, Dexi Wang , Haiyan Pan , Haibo Zhong. Clinical significance of procalcitonin, C-reactive protein and white blood cell count in elderly patients with severe community-acquired pneumonia. Hebei Medical Journal, 2015,21(05):789-791.
[18] Xijuan Peng , Jian Shen , Boliang Wang,Tao Luo. Analysis of the correlation between C-reactive protein and PCT changes and prognosis in elderly patients with severe pneumonia. Clinical Medical Research and Practice, 2016,1(18):1-3.
[19] Warusevitane, Anushka,Karunatilake, Dumin,Sim, Julius, Smith, Craig, Roffe, Christine.Early Diagnosis of Pneumonia in Severe Stroke:Clinical Features and the Diagnostic Role of C-Reactive Protein[J].PloS one,2016, 11(3): e0150269. DOI: https://doi.org/10.1371/journal.pone.0150269
[20] Ticinesi, Andrea,Lauretani, Fulvio,Nouvenne, Antonio,Porro, Emanuela,Fanelli, Guido,Maggio, Marcello,Meschi, Tiziana. C-reactive protein(CRP)measurement in geriatric patients hospitalized for acute infection[J].European journal of internal medicine, 2017,37:7-12. DOI: https://doi.org/10.1016/j.ejim.2016.08.026
[21] Binbin Li, Zhihai Li, Wu Cheng,Baoyi Zhang, Wengui Zhu, Zhongtie Lin. Application of sputum suction by feberoptic bronchoscope in patients with severe pneumonia and its effect on infammatory factors. Am J Transl Res 2021;13(7):8409-8414.
[22] Ying Zhao ,Huaisheng Chen. Analysis of the Effect of Bronchoscopy Irrigation on the Treatment of Severe Pneumonia in the Elderly Caused by Multidrug-resistant Bacterial Infections. Medical Theory and Practice, 2021,34 (11): 1867-1868.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
