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Related Experiment Videos

Percutaneous tracheostomy: a comprehensive evaluation.

K S Moe1, S J Stoeckli, S Schmid

  • 1Department of Otolaryngology-Head and Neck Surgery, University Hospital of Zürich, Switzerland.

The Annals of Otology, Rhinology, and Laryngology
|April 24, 1999
PubMed
Summary
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Percutaneous tracheostomy (PT) is a safe and effective procedure for selected intensive care unit patients. Bronchoscopic surveillance reduces complications compared to open tracheostomy (OT), though PT may be more costly.

Area of Science:

  • Critical Care Medicine
  • Surgical Procedures
  • Respiratory Management

Background:

  • Percutaneous tracheostomy (PT) techniques vary widely, leading to confusion and inconsistent clinical outcomes.
  • Existing literature lacks a clear consensus on the safest and most effective PT methods.
  • Open tracheostomy (OT) remains a common alternative, with established protocols and training pathways.

Purpose of the Study:

  • To systematically evaluate the international literature on percutaneous tracheostomy techniques.
  • To classify existing PT methods and analyze their safety profiles.
  • To conduct a prospective outcome and cost analysis of the safest identified PT method.

Main Methods:

  • Comprehensive literature review of over 1,500 percutaneous tracheostomy cases.

Related Experiment Videos

  • Classification of various PT techniques and instruments used.
  • Prospective analysis of 130 cases undergoing a standardized, bronchoscopically guided PT procedure.

    • Main Results:

    • Percutaneous tracheostomy performed with appropriate technique and bronchoscopic guidance shows a lower complication rate than open tracheostomy.
    • Cost analysis indicates that percutaneous tracheostomy can be more expensive than bedside open tracheostomy.
    • Selected intubated patients in the ICU benefit from PT as a safe and expedient airway management option.

    Conclusions:

    • Percutaneous tracheostomy is a recommended procedure for select ICU patients when performed correctly under bronchoscopic surveillance.
    • PT does not offer advantages for patients requiring transfer to the operating room for tracheostomy.
    • Open tracheostomy experience remains crucial for surgical trainees, especially in the operating room setting.