Evaluation of Percutaneous and Surgical Tracheostomy Results in Neurocritical Care Unit

Memmedova, Fergane; Akarsu, Fatma Ger; Mehdiyev, Zaur; Aykaç, Özlem; Pınarbaşlı, Mehmet Özgür; Gürbüz, Melek Kezban; Özdemi̇r, Atilla Özcan

doi:10.4274/tnd.2022.77200

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…PDT provides the lower rates of early postoperative complications with the same perioperative risks due to lesser rate of tissue dissection and tissue damage, improved tightness between the cannula and stoma, and also decreased bleeding and wound infection complications. [ 5 6 7 8 9 10 11 ] At present, there is option to select PDT techniques from commercial sets such as Ciaglia, Griggs, and Fantoni. [ 12 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of percutaneous single-stage dilatational tracheostomy and surgical tracheostomy in critically ill patients: A randomized controlled trial

Katial,

Shree,

Mishra

et al. 2024

International Journal of Critical Illness and Injury Science

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Background: This study was done to compare single stage percutaneous dilation tracheostomy (PDT) and open surgical tracheostomy (ST) in critically ill patients. Methods: A randomized controlled study was conducted on 60 critically ill patients admitted in the intensive care unit (ICU). The patients were randomized into ST or PDT group with 30 in each group. The duration of procedure and associated perioperative/postoperative complications were noted and compared. Results: A total of 60 critically ill patients were included with 30 each in both groups. Compared to ST, PDT had significantly lesser mean duration of procedure (5 ± 1.64 vs. 21.33 ± 4.77 min, P < 0.0001) and comparable incidence of complications (3.33% vs. 20%, P = 0.103), which included 5–10 ml of bleeding (0% vs. 13.33%), cardiac arrest (0% vs. 3.33%), atrial fibrillation (3.33% vs. 0%), and tracheoesophageal fistula (0% vs. 3.33%). Conclusion: PDT performed in the ICU is a quick, safe, and reliable procedure with comparable complications to ST.

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Section: Introductionmentioning

confidence: 99%

Comparison of percutaneous single-stage dilatational tracheostomy and surgical tracheostomy in critically ill patients: A randomized controlled trial

Katial,

Shree,

Mishra

et al. 2024

International Journal of Critical Illness and Injury Science

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Yoğun Bakım Ünitesinde Fiberoptik Bronkoskopi Kılavuzluğunda Perkütan Dilatasyonel Trakeostomiye Karşı Klasik Kör Perkütan Dilatasyonel Trakeostomi: Komplikasyonlar, Mortalite ve Sonuçlar

ARSLAN,

KAYA,

ŞAHİN

2023

Düzce Tıp Fakültesi Dergisi

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Aim: This study aimed to compare percutaneous dilatational tracheostomy (PDT) procedures performed with fiberoptic bronchoscopy (FOB) guidance and classical blind technique regarding complications, mortality, and patient outcomes. Material and Methods: This study included 62 patients receiving mechanical ventilator support in the intensive care unit (ICU) between October 2022 and June 2023. Patients were randomized into two groups: those who underwent FOB-guided PDT (group FOB, n=31) and those who underwent PDT with the classical blind technique (group C, n=31). Demographic data, clinical characteristics, PDT procedure times, complications, and mortalities were analyzed. Results: The median age was 64 (range, 19-94) years, and 67.7% (n=42) of the patients were male. Demographic data were found similar between groups. The most common primary diagnosis in patients who underwent PDT was intracranial hemorrhages (32.3%, n=20). While the median tracheostomy opening time in the entire study group was 13 (range, 3-31) days, there was no significant difference between the groups (p=0.637). The mean PDT procedure time (9.6±3.8 vs 12.6±5.4 min, p=0.015), median ICU stay (26 vs 37 days, p=0.004), and complication rate (6.4% vs 25.8%, p=0.038) were found to be significantly lower in group FOB. While the 28-day mortality in the entire study group was 17.7% (n=11), there was no significant difference between the groups (p=0.740). Conclusion: In PDT procedures performed under FOB guidance, procedure time, length of stay in the ICU, and procedure-related complication rates were significantly lower, while no significant difference was observed in terms of mortality.

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Evaluation of Percutaneous and Surgical Tracheostomy Results in Neurocritical Care Unit

Cited by 2 publications

References 20 publications

Comparison of percutaneous single-stage dilatational tracheostomy and surgical tracheostomy in critically ill patients: A randomized controlled trial

Comparison of percutaneous single-stage dilatational tracheostomy and surgical tracheostomy in critically ill patients: A randomized controlled trial

Yoğun Bakım Ünitesinde Fiberoptik Bronkoskopi Kılavuzluğunda Perkütan Dilatasyonel Trakeostomiye Karşı Klasik Kör Perkütan Dilatasyonel Trakeostomi: Komplikasyonlar, Mortalite ve Sonuçlar

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