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Related Experiment Videos

Percutaneous tracheostomy: one center's experience with a new modality.

Lillian Liao1, John Myers, Joe Johnston

  • 1Department of Surgery, Division of Trauma and Emergency Surgery, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.

American Journal of Surgery
|November 26, 2005
PubMed
Summary

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Percutaneous tracheostomy (PT) reduces time to procedure and hospital charges compared to open tracheostomy (OT). While PT has a learning curve, initial supervision ensures safety and efficacy, making it a valuable alternative.

Area of Science:

  • Surgical Procedures
  • Critical Care Medicine
  • Trauma Surgery

Background:

  • Retrospective review of percutaneous tracheostomy (PT) and open tracheostomy (OT) experience.
  • Assessed complication rates and usage patterns since PT introduction.

Purpose of the Study:

  • Determine complication rates and usage patterns of PT.
  • Compare PT and OT experiences.

Main Methods:

  • Retrospective chart review of tracheostomies performed or supervised by trauma/critical care faculty.
  • Collected data on procedure type, complications, time to tracheostomy, and charges.
  • Compared percutaneous tracheostomy (PT) and open tracheostomy (OT) outcomes.

Main Results:

Related Experiment Videos

  • 368 tracheostomies performed (190 OT, 178 PT).
  • Average time to tracheostomy decreased from 12.7 to 7.4 days for PT; remained stable at 14.0 days for OT.
  • Overall complication rate was 3.5% (1.5% OT, 5.1% PT). PT complications occurred before single dilator system use and early in surgeon experience.
  • PT saved $444 per procedure in charges.

    • Conclusions:

    • Open tracheostomy (OT) remains a safe procedure.
    • Percutaneous tracheostomy (PT) offers benefits like shorter time to procedure and reduced costs.
    • PT has a learning curve, emphasizing the need for supervised initial attempts.