Comparison of Ciaglia and Griggs Percutaneous Dilatation Tracheostomy Methods: Which one is more effective and safe?

Abstract

Objective: To evaluate Griggs (GWDR) and Ciaglia Blue Rhino (CBR) percutaneous dilatation tracheostomy methods with their advantages and disadvantages and to determine their superiority to each other. Method: A total of 84 patients who underwent percutaneous dilatation tracheostomy between 2015 and 2016 were included in the study. Bronchoscopy-guided tracheostomy was performed in 42 patients with Ciaglia method and 42 patients with Griggs method. All data of the patients were recorded. Results: The median age of the study population was 65.5 (16-88) years in the CBR group and 66.5 years in the GWDR group (p>0.05). The median duration of the procedure was 4 minutes (range, 3.5 to 10 minutes) in the CBR group and 4.5 minutes (range, 3.5 to 11 minutes) in the GBWR group (p>0.05). Minor complications were seen in 20 patients in the CBR group and 26 patients in the GDWR group. Major complications were seen in 13 patients in the CBR group and 10 patients in the GDWR group. The comparison of major and minor complications per se in both groups showed no significant difference. The duration of ICU stays after the procedure was significantly lower in the GDWR group compared to the CBR group (p=0.03). It was observed that obesity increased the risk of complications by 22.89% (95% GA, p=0.01). Conclusion: There were no significant differences between GDWR and CBR methods except for small differences. Both methods were found to be effective and safe.