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[Percutanous dilation tracheotomy: our experience].

I Domènech¹, T Mateu, E Cisa

¹Servicio de Otorrinolaringología del Hospital de Universitario de Bellvitge, Barcelona. 35019idj@comb.es

Acta Otorrinolaringologica Espanola

|November 24, 2004

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Percutaneous dilation tracheotomy (PDT) is a safe and effective alternative to surgical tracheotomy. This study found PDT to have a low complication rate in intensive care unit patients.

Area of Science:

Critical Care Medicine
Pulmonology
Otolaryngology

Background:

Percutaneous dilation tracheotomy (PDT) is increasingly utilized as an alternative to open surgical tracheotomy.
The adoption of PDT in intensive care units (ICUs) necessitates a thorough understanding of its complication profile.

Purpose of the Study:

To characterize and quantify the complication rate associated with percutaneous dilation tracheotomy.
To evaluate the safety and efficacy of PDT in ICU patients.

Main Methods:

Prospective study involving 60 PDT procedures.
Procedures were performed in various intensive care units between September 2002 and July 2003.

Main Results:

The average intraoperative time for PDT was 8 minutes.

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Complications included mild intraoperative hemorrhage (6 cases), moderate intraoperative hemorrhage (1 case), mild postoperative hemorrhage (4 cases), and subcutaneous emphysema (1 case).

Conclusions:

Percutaneous dilation tracheotomy (PDT) presents a viable alternative to surgical tracheotomy.
PDT should be considered a valuable addition to the surgical airway procedures available to otolaryngologists.