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Long-term outcomes following percutaneous tracheostomy using the Griggs technique
S Sviri1, R Samie, B L Roberts
1Department of Intensive Care, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, W.A. 6009.
Anaesthesia and Intensive Care
|September 17, 2003
Summary
Percutaneous tracheostomy using the Griggs technique shows acceptable long-term outcomes. Most patients experienced minimal scarring, with few reporting significant voice changes or cough, indicating a favorable safety profile.
Area of Science:
- Medicine
- Surgery
- Intensive Care Medicine
Background:
- Percutaneous tracheostomy is a frequent procedure in intensive care units.
- The Griggs technique is a common method for percutaneous tracheostomy.
Purpose of the Study:
- To evaluate the long-term outcomes and complication rates associated with percutaneous tracheostomy performed using the Griggs technique.
- To assess patient-reported symptoms and objective measures of airway function post-procedure.
Main Methods:
- A prospective observational cohort study included 208 patients undergoing percutaneous tracheostomy via the Griggs technique.
- Follow-up included questionnaires on symptoms, scar evaluation, and spirometry for a subset of patients.
- Median follow-up duration was 30 months.
Main Results:
- 51% of patients responded to questionnaires; 38% reported voice changes, 12% persistent cough, and 31% shortness of breath (often linked to pre-existing conditions).
- 81% had minimal or neat scars.
- Spirometry revealed upper airway obstruction in 19.5% of evaluated patients, but only 5% were symptomatic.
Conclusions:
- Percutaneous tracheostomy using the Griggs technique demonstrates an acceptable rate of long-term complications.
- The procedure is associated with generally good cosmetic outcomes and a low incidence of symptomatic airway issues.