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[Clinical application of improved percutaneous tracheostomy with dilatational technique]
Yong-liang Gu1, Liang Yao, Wen-jin Xie
1Department of ICU, Zhejiang Haiyan People's Hospital, Haiyan 314300, Zhejiang, China.
Objective:
To evaluate clinical application of improved percutaneous tracheostomy with dilatational technique.
Methods:
In 55 patients an improved percutaneous tracheostomy was used, and in another 52 patients an old technique of percutaneous tracheostomy was used.
Results:
The cost of the improved percutaneous tracheostomy was only (216.0+/-4.4) yuan, operation time was (5.0+/-3.5) minutes, while the cost of the old method was (3 011.0+/-5.3) yuan, and operation time was (10.0+/-6.9) minutes. The difference between them was significant (t=23.60, 4.76, both P<0.001), but there were no differences in the time of bleeding and healing (both P>0.05).
Conclusion:
The improved percutaneous tracheostomy was more expeditious, costless, better healing, scar smaller. Therefore, it is useful in emergency care, and it can take the place of classical tracheostomy.