Percutaneous dilational tracheostomy in children and teenagers

Toursarkissian, Boulos; Fowler, Craig; Zweng, Thomas N.; Kearney, Paul A.

doi:10.1016/0022-3468(94)90135-x

Cited by 82 publications

(44 citation statements)

References 19 publications

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“…1 · However, Toursarkissian et al 26 reported favorable results in the use of PDT in children and teenagers. In that study, 11 children 10 to 20 years of age (average, 16 years) underwent PDT for prolonged ventilator support or pulmonary toilet access with the Cook kit.…”

Section: Discussionmentioning

confidence: 96%

Experience with Percutaneous Dilational Tracheostomy

Lim¹,

Friedman²,

Lazar

et al. 2000

Ann Otol Rhinol Laryngol

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Percutaneous dilational tracheostomy (PDT) has gained popularity among critical care specialists in the past 10 years. The initial studies in our specialty resulted in essentially banning the procedure as a dangerous substitute for standard operative tracheostomy. Despite this action, more than 1,100 cases of percutaneous tracheostomy have been reported with details on complications. We reviewed all published data and studied 311 patients of our own. A prospective study was performed in 3 groups of patients: 1) 50 patients scheduled for PDT performed in the operating room by a head and neck surgeon (group 1); 2) 50 patients who underwent standard operative tracheostomy performed by the same surgeon (group 2); and 3) 211 patients who underwent bedside PDT by critical care physicians (group 3). The intraoperative complication rates were 0% in group 1, 2% in group 2, and 4% in group 3; the postoperative complication rates were 13%, 4%, and 12%, respectively. There were 2 deaths in group 3, and none in groups 1 or 2. The statistically significant differences among the groups were the superiority of group I over group 3 in intraoperative complications, as well as the lower postoperative complication rate of the standard tracheostomy group. These results show that PDT can be performed with acceptable morbidity rates in relation to published complication rates of standard tracheostomy, but it has no advantage over standard tracheostomy with respect to postoperative morbidity. When they are performed by a head and neck surgeon, the morbidity associated with both standard and percutaneous tracheostomies can be reduced.

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Section: Discussionmentioning

confidence: 96%

Experience with Percutaneous Dilational Tracheostomy

Lim¹,

Friedman²,

Lazar

et al. 2000

Ann Otol Rhinol Laryngol

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“…As few units reported having a guideline, even within an individual PICU practice between intensivists may vary significantly. Similarly, although percutaneous tracheostomy has been reported in children since the mid-1990s,9 only six PICUs in the UK reported undertaking this procedure, most likely dependent on the operator experience of individual clinicians.…”

Section: Discussionmentioning

confidence: 99%

Tracheostomy in children admitted to paediatric intensive care: Table 1

2012

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“…Toursarkissian et al [11] reported 11 PT performed in children aged 10-20 years with Ciagli technique without major complications. Fantoni and Ripamonti [4] presented series of TLT done in very young patients, including infants of only a few months' old.…”

Section: Discussionmentioning

confidence: 98%