Percutaneous dilatational versus conventional surgical tracheostomy in intensive care patients.

North American Journal of Medical Sciences
Tarek F YoussefAly Saber

Abstract

Tracheostomy is usually performed in patients with difficult weaning from mechanical ventilation or some catastrophic neurologic insult. Conventional tracheostomy involves dissection of the pretracheal tissues and insertion of the tracheostomy tube into the trachea under direct vision. Percutaneous dilatational tracheostomy is increasingly popular and has gained widespread acceptance in many intensive care unit and trauma centers. Aim of the study was to compare percutaneous dilatational tracheostomy versus conventional tracheostomy in intensive care patients. 64 critically ill patients admitted to intensive care unit subjected to tracheostomy and randomly divided into two groups; percutaneous dilatational tracheostomy and conventional tracheostomy. Mean duration of the procedure was similar between the two procedures while the mean size of tracheostomy tube was smaller in percutaneous technique. In addition, the Lowest SpO(2) during procedure, PaCO(2) after operation and intra-operative bleeding for both groups were nearly similar without any statistically difference. Postoperative infection after 7 days seen to be statistically lowered and the length of scar tend to be smaller among PDT patients. PDT technique is effective an...Continue Reading

Citations

Feb 7, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Sukanya MitraHarpreet Sandhu
Oct 25, 2016·The Laryngoscope·Stephanie Johnson-ObasekiHedyeh Javidnia
Jul 15, 2015·Anesthesiology and Pain Medicine·Mohsen Ziyaeifard, Ziya Totonchi
Apr 17, 2015·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Mohd Saif Khan
Sep 13, 2014·Cirugía española·Mario Royo-Villanova ReparazAlba Moreno Flores
Jun 12, 2013·Journal of Intensive Care Medicine·Bryan G MaxwellGeoffrey K Lighthall
Mar 25, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Sachin GuptaSushma Gurav

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Methods Mentioned

BETA
dissection
X
ray
X ray

Software Mentioned

SPSS

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