Role of routine chest radiography after percutaneous dilatational tracheostomy

Kumar, Vishal; Grant, Colin A.; Hughes, Mike; Clarke, Emily; Hill, Eric; Jones, Terry M.; Dempsey, Ged

doi:10.1093/bja/aen038

Cited by 27 publications

(23 citation statements)

References 16 publications

(6 reference statements)

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“…A chest X-ray after the procedure did not show any complication related to the procedure and therefore, in agreement with previous studies, we state there is no indication for a routine chest X-ray after an uneventful PDT [21]. Swallowing problems are common after endotracheal intubation [22].…”

Section: Discussionsupporting

confidence: 89%

Early and late outcome after single step dilatational tracheostomy versus the guide wire dilating forceps technique: a prospective randomized clinical trial

et al. 2011

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PurposePercutaneous tracheostomy is frequently performed in long-term ventilated patients in the intensive care unit (ICU). Unfortunately, despite many years of experience, the optimal technique is still unknown, especially considering the occurrence of late complications. The purpose of this study was to determine which of the two most frequently used percutaneous tracheostomy techniques performs best with the emphasis on late complications.MethodsThis prospective randomized trial involved 120 patients, comparing two techniques of percutaneous tracheostomy, the guide wire dilating forceps (GWDF) and the single step dilatational tracheostomy (SSDT) technique.ResultsSixty patients in each group underwent a percutaneous tracheostomy and were followed for up to 3 months after decannulation. The majority of complications in both groups were minor (58.3% in the GWDF group and 61.7% in the SSDT group). We found a trend towards more major perioperative complications in the GWDF group versus the SSDT group, 10.0 versus 1.7% (p = 0.06). One patient in the SSDT group developed a significant tracheal stenosis. However, this may also have been related to prolonged translaryngeal intubation. Results of magnetic resonance imaging (MRI) investigations showed only minor tracheal changes. Only 37.5% of patients in the GWDF group and 31.8% in the SSDT group had no complaints after their percutaneous tracheostomy.ConclusionCompared with the GWDF, the SSDT shows a trend toward less major perioperative complications with a comparable long-term outcome.

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Section: Discussionsupporting

confidence: 89%

Early and late outcome after single step dilatational tracheostomy versus the guide wire dilating forceps technique: a prospective randomized clinical trial

et al. 2011

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“…Of the 40 cases with complications detected on chest X‐ray, five had post‐procedural signs and symptoms, while two were asymptomatic. Unfortunately, there was no documentation of the remaining 33 cases . However, of the seven cases that were documented, the three cases which required intervention (chest tube) all presented post‐procedurally with clinical signs and symptoms, while none of the two asymptomatic cases required any intervention. Bronchoscopic guidance .…”

Section: Resultsmentioning

confidence: 99%

Is routine chestX‐ray after surgical and percutaneous tracheostomy necessary in adults: a systemic review of the current literature

Yeo

Phua

2014

Clinical Otolaryngology

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The practice of routine post-tracheostomy chest X-ray is debatable owing to its low yield and minimal impact on clinical management. However, certain groups of patients appear to be at higher risks of post-tracheostomy complications; currently, there is insufficient evidence to conclude the absolute need for routine chest X-ray in these groups of patients, although it may be prudent to do so based on available evidence in the literature and logical clinical reasoning.

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“…Kumar et al 19 studied the role of CXR after PDT and concluded that CXR had no changes after non-complicated PDT under the guide of bronchoscopy. Therefore, it seems that the roll of CXR after PDT is limited to those with technical difficulties.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Dilatational Tracheostomy and Surgically Created Tracheostomy in ICU Patients

Hasanloei

Mahoori

Bazzazi

et al. 2014

Journal of Cardiovascular and Thoracic Research; ISSN 2008-6830

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Role of routine chest radiography after percutaneous dilatational tracheostomy

Cited by 27 publications

References 16 publications

Early and late outcome after single step dilatational tracheostomy versus the guide wire dilating forceps technique: a prospective randomized clinical trial

Early and late outcome after single step dilatational tracheostomy versus the guide wire dilating forceps technique: a prospective randomized clinical trial

Is routine chestX‐ray after surgical and percutaneous tracheostomy necessary in adults: a systemic review of the current literature

Percutaneous Dilatational Tracheostomy and Surgically Created Tracheostomy in ICU Patients

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