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Related Experiment Videos

Percutaneous or surgical tracheostomy: a meta-analysis.

P Dulguerov1, C Gysin, T V Perneger

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Geneva Hospital, Switzerland. Pavel.Dulguerov@hcuge.ch

Critical Care Medicine
|September 2, 1999
PubMed
Summary

Percutaneous tracheostomy shows more perioperative complications, including deaths and cardiorespiratory events. Surgical tracheostomy has higher postoperative complication rates, particularly minor ones.

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Area of Science:

  • Medical procedures
  • Surgical techniques
  • Critical care medicine

Background:

  • Tracheostomy is a common procedure in critical care.
  • Both percutaneous and surgical techniques are widely used.
  • Comparing complication rates is crucial for patient safety.

Purpose of the Study:

  • To compare percutaneous tracheostomy with surgical tracheostomy.
  • To analyze peri- and postoperative complications using a meta-analysis.
  • To evaluate complication rates across different time periods.

Main Methods:

  • Meta-analysis of studies published between 1960 and 1996.
  • MEDLINE database search for relevant publications.
  • Inclusion of studies on all peri- and postoperative complications.

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Main Results:

  • Percutaneous tracheostomy had higher perioperative complication rates (10% vs. 3%), including deaths (0.44% vs. 0.03%).
  • Surgical tracheostomy had higher postoperative complication rates (10% vs. 7%).
  • Older surgical tracheostomy studies showed the highest complication rates.

Conclusions:

  • Percutaneous tracheostomy is linked to increased perioperative complications and mortality.
  • Surgical tracheostomy is associated with higher postoperative complication rates.
  • Technique choice impacts patient outcomes and complication profiles.