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Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy
Published on: May 18, 2019
Appraisal of percutaneous tracheostomy
D J Leinhardt1, M Mughal, B Bowles
1University Department of Surgery, Hope Hospital, Salford, UK.
The British Journal of Surgery
|March 1, 1992
Summary
Percutaneous tracheostomy using the Cook system offers a faster and safer alternative to conventional methods. The Rapitrac system, while quick, showed higher complication rates in this study.
Area of Science:
- Medical procedures
- Surgical techniques
- Airway management
Background:
- Conventional tracheostomy is a common procedure for airway access.
- Percutaneous techniques aim to reduce operative time and complications.
- Evaluating commercially available percutaneous tracheostomy kits is essential.
Purpose of the Study:
- To compare the operative time and complication rates of two percutaneous tracheostomy kits (Cook and Rapitrac) against conventional tracheostomy.
- To assess the safety and efficacy of the Cook percutaneous tracheostomy system.
Main Methods:
- A retrospective comparison of 25 percutaneous tracheostomies (20 Cook, 5 Rapitrac) with 16 conventional tracheostomies.
- Data collected included operative times and complication rates.
- Statistical analysis was performed to compare outcomes.
Main Results:
- Median operative times: Conventional (60 min), Cook (15 min), Rapitrac (5 min) (P < 0.001).
- The Rapitrac group had a significantly higher complication rate (P < 0.05).
- The Cook group's complication rate was comparable to conventional tracheostomy.
Conclusions:
- The Cook system is a simple, rapid, and safe alternative for percutaneous tracheostomy.
- The Rapitrac system, despite its speed, is associated with increased complications.
- Percutaneous tracheostomy with the Cook system demonstrates favorable outcomes compared to conventional methods.
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