Percutaneous Tracheostomy: Ciaglia Blue Rhino Versus the Basic Ciaglia Technique of Percutaneous Dilational Tracheostomy

Byhahn, Christian; Wilke, Hans‐Joachim; Halbig, S.; Lischke, V.; Westphal, K.

doi:10.1097/00000539-200010000-00021

Cited by 186 publications

(123 citation statements)

References 18 publications

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“…In our study, there was no desaturation, accidental extubation, endotracheal tube or cuff puncture. The only significant complication encountered was fracture of tracheal ring during PercuTwist dilatation in 2 of our patients which has been reported with PercuTwist by Emmanuel Scherrer and with Ciaglia Blue Rhino technique by Christian Byhahn [8,12].…”

Section: Discussionmentioning

confidence: 59%

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A comparative study of open tracheostomy and percutaneous tracheostomy in ICU setting

Prasad

Shrestha

2014

El Med J

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Section: Discussionmentioning

confidence: 59%

“…In 1990, Griggs et al further improved the technique by using the guidewire dilating forceps (GWDF), a modified Howard-Kelly forceps with blunt edges [7]. In [8]. This markedly reduced the complications.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of open tracheostomy and percutaneous tracheostomy in ICU setting

Prasad

Shrestha

2014

El Med J

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“…Comparisons between the original Ciaglia and PercuTwist methods and between the Ciaglia, Griggs, and PercuTwist methods did not indicate a statistically significant difference in any outcomes. Comparison between the Blue Rhino and PercuTwist showed that only difficulty was statistically different (higher for PercuTwist), but Birbicer et al 24 did not report tracheal ring fractures, and Byhahn et al 22 did not report pneumothorax incidences.…”

Section: Discussionmentioning

confidence: 97%

“…There were no statistically significant differences in outcome comparisons. 10 Van Heurn et al 16 Ambesh et al 11 Añon et al 12 Cantais et al 17 Nates et al 18 Montcriol et al 19 Kaiser et al 20 Cianchi et al 7 Johnson et al 21 Byhahn et al 22 Yurtseven et al 23 Kumar et al 13 Karvandian …”

Section: Ciaglia Multiple Dilator Versus Griggsmentioning

confidence: 99%

Which Percutaneous Tracheostomy Method Is Better? A Systematic Review

Sanábria

2014

Respir Care

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BACKGROUND: The aim of this study was to assess the different methods of percutaneous tracheostomy in terms of successful performance of the tracheostomy as well as safety. Tracheostomy is the most common procedure performed on the airway for patients in ICUs. Lately, several methods of percutaneous tracheostomy (multiple dilator, progressive dilator, forceps dilation, screwlike dilation, balloon dilation, and translaryngeal) have been described, with theoretical advantages, but there is no consensus about which is better. METHODS: A systematic review with critical appraisal of the literature was done. Literature in multiple databases was searched. Randomized controlled trials comparing different tracheostomy methods were selected. Clinical and methodological characteristics were assessed. A meta-analysis using fixed effect models was planned for statistically homogeneous outcomes. RESULTS: Fourteen randomized controlled trials were included, most of them with small sample sizes and with comparisons of multiple methods. Blue Rhino methods were less difficult for surgeons (risk difference of 14.7% [95% CI 8 -21.5]) and had more minor bleeding events (risk difference of ؊6.3% [95% CI ؊13.58 to 0.8]). There were no differences in major bleeding events. Statistically, heterogeneity and lack of data impede comparison with other outcomes. CONCLUSIONS: The Blue Rhino method is less difficult and has more minor bleeding events, but physicians also have more experience with this technique. However, trials are underpowered to define the best method.

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“…In a comprehensive study of perioperative complications from the various dilatational percutaneous tracheostomy techniques, Byhahn et al [5] reported a 23% overall occurrence of complications, with a minimum of 6% for the Ciaglia Blue Rhino Ò (Cook Medical, Limerick, Ireland) dilator technique. Peri-operative complications most frequently associated with dilatational percutaneous tracheostomy techniques include hypotension, hypoxia, bleeding, resistance to the insertion of the cannula, peritracheal tube insertion (with false passage formation), damage to the posterior tracheal wall and fracture of tracheal rings (the latter accounting for about 25% of all complications) [5,6]. It is often believed that when performing dilatational percutaneous tracheostomies, tracheal rings are displaced, but remain intact.…”

mentioning

confidence: 99%

A new technique for percutaneous dilatational tracheostomy (G‐Trach): preliminary experience in pigs

2012

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SummaryTracheostomies are currently used for airway management in patients requiring long-term respiratory assistance. The dilatational percutaneous technique of forming tracheostomies is a valuable alternative to traditional surgical 'open' techniques. In this study, we tested a new dilatational percutaneous tracheostomy device using a balloon dilator with a particular innovative shape (G-Trach). At the Autonomous University of Barcelona Veterinary Institute, eight pigs (weighing 20-40 kg) were anaesthetised and underwent tracheostomy using the novel G-Trach technique. The mean (SD) procedure time was 2.63 (0.64) min from tracheal puncture to ventilation through the tracheostomy tube, and the mean (SD) time from positioning the dilator balloon to introducing the cannula was 0.71 (0.38) min. Vital functions and oxygen saturation remained constant throughout the procedures. Postmortem examinations did not reveal any tracheal injury. The G-Trach seems to be a safe and easy new dilatational percutaneous technique for forming tracheostomies. The minimal subcutaneous tissue dissection could potentially decrease complications when compared with standard dilatational percutaneous tracheostomy methods. To confirm this hypothesis a human trial is ongoing.

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Percutaneous Tracheostomy: Ciaglia Blue Rhino Versus the Basic Ciaglia Technique of Percutaneous Dilational Tracheostomy

Cited by 186 publications

References 18 publications

A comparative study of open tracheostomy and percutaneous tracheostomy in ICU setting

A comparative study of open tracheostomy and percutaneous tracheostomy in ICU setting

Which Percutaneous Tracheostomy Method Is Better? A Systematic Review

A new technique for percutaneous dilatational tracheostomy (G‐Trach): preliminary experience in pigs

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