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Intensive Care Med Intensive Care Med Intensive Care Medicine 0342-4642 1432-1238 Springer-Verlag Berlin/Heidelberg 8522676 BF01711551 10.1007/BF01711551 Brief Report Safety of tracheotomy in neutropenic patients: A retrospective study of 26 consecutive cases Blot F. 1 Nitenberg G. 1 Guiguet M. 2 Casetta M. 1 Antoun S. 1 Pico J. L. 3 Leclercq B. 1 Escudier B. 1 1 grid.14925.3b0000000122849388Intensive Care Unit, Institut Gustave Roussy, 39 rue Camille Desmoulins, F-94805 Villejuif, France 3 grid.14925.3b0000000122849388Bone Marrow Transplant Unit, Institut Gustave Roussy, 39 rue Camille Desmoulins, F-94805 Villefuif, France 2 INSERM U263, Paris, France 1995 21 8 687 690 15 2 1994 30 8 1994 Springer-Verlag 1995This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.Objective To evaluate the safety of tracheotomy in neutropenic ventilated cancer patients, in terms of infectious and haemorrhagic complications. Design Retrospective study. Setting A medical-surgical intensive care unit in a Cancer-hospital.Patients and participants: 26 consecutive patients undergoing a tracheotomy in neutropenic period, from 1987 to 1990. Interventions Tracheotomy, performed at the bedside or in operating, room.

8522676 BF01711551 10.1007/BF01711551 Brief Report Safety of tracheotomy in neutropenic patients: A retrospective study of 26 consecutive cases Blot F. 1 Nitenberg G. 1 Guiguet M. 2 Casetta M. 1 Antoun S. 1 Pico J. L. 3 Leclercq B. 1 Escudier B. 1 1 grid.14925.3b0000000122849388Intensive Care Unit, Institut Gustave Roussy, 39 rue Camille Desmoulins, F-94805 Villejuif, France 3 grid.14925.3b0000000122849388Bone Marrow Transplant Unit, Institut Gustave Roussy, 39 rue Camille Desmoulins, F-94805 Villefuif, France 2 INSERM U263, Paris, France 1995 21 8 687 690 15 2 1994 30 8 1994 Springer-Verlag 1995This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.Objective To evaluate the safety of tracheotomy in neutropenic ventilated cancer patients, in terms of infectious and haemorrhagic complications. Design Retrospective study. Setting A medical-surgical intensive care unit in a Cancer-hospital.Patients and participants: 26 consecutive patients undergoing a tracheotomy in neutropenic period, from 1987 to 1990. Interventions Tracheotomy, performed at the bedside or in operating, room. Measurements and results In all neutropenic patients undergoing a tracheotomy, the characteristics and duration of both neutropenia and mechanical ventilation have been recorded. Stomal bleeding and infection, and infectious pneumonias and alveolar haemorrhage have been carefully reviewed. Platelets were transfused in 23 of the 26 patients at the time of the procedure; no local haemorrhage was observed. Neither stomal nor pulmonary infections secondary to traceotomy were noted. No respiratory worsening was attributable to the tracheotomy. Nineteen patients (73%) died in ICU, without direct link between tracheotomy and death.

used in 23 of the 26 patients at the time of the procedure; no local haemorrhage was observed. Neither stomal nor pulmonary infections secondary to traceotomy were noted. No respiratory worsening was attributable to the tracheotomy. Nineteen patients (73%) died in ICU, without direct link between tracheotomy and death. Conclusions These findings suggest that a tracheotomy can be safely performed in neutropenic patients requiring mechanical ventilation. Key words TracheotomyEdotracheal intubationMechanical ventilationNeutropeniaCancerissue-copyright-statement Springer-Verlag 1995