Effect of percutaneous tracheotomy with deep vein puncture bag in the treatment of severe neurological patients

Objective To investigate the effect of percutaneous tracheotomy with deep vein puncture package in severe neurological patients. Methods Forty-five patients with severe neurological diseases admitted to neurosurgery department of Fuyang Fifth People’s Hospital from December 2016 to October 2019 who underwent percutaneous tracheotomy were selected as the study subjects. According to different methods of using materials, the patients were divided into experimental group (23 cases) and control group (22 cases). The experimental group received percutaneous tracheotomy with deep vein puncture package, while the control group received percutaneous tracheotomy with conventional tracheotomy package. Surgical conditions, surgical costs and the incidence of intraoperative and postoperative complications were compared between the two groups. Results There was no significant difference between the two groups in general conditions (gender, age, etiology and preoperative GCS score) (P>0.05). The surgical expenses in the experimental group [(694±22) yuan] were significantly lower than those in the control group [(1402±184) yuan], and the difference was statistically significant (t=18.223, P=0.000). Comparison of surgical conditions: there were no statistically significant differences in operative time, incision size, intraoperative blood loss, guide wire bending rate and the incidence of surgical changes (P>0.05). There was no statistically significant difference between the two groups in intraoperative and postoperative complications (postoperative bleeding, hypoxemia, arrhythmia, subcutaneous emphysema, pneumothorax, mediastinum emphysema, incision infection, sputum discharge at the incision and cannula prolapse) (P>0.05). Conclusion Compared with conventional percutaneous tracheotomy, percutaneous tracheotomy with deep veni puncture bag also has the characteristics of less trauma, shorter operation time and fewer complications, which can reduce the cost of operation and is worthy of clinical application. Key words: Neurological intensive; Tracheotomy; Deep vein puncture bag; Traumatic brain injury; Spontaneous cerebral hemorrhage