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Updated: Jul 13, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
[Surgery tracheostomies and percutaneous dilatation tracheostomies--retrospective study]
J Vodicka1, K Pokorný, P Matousek
1Klinika otorinolaryngologie a chirurgie hlavy a krku, Krajská nemocnice Pardubice. vodicka@nem.pce.cz
Percutaneous dilatation tracheostomy (PDT) is increasingly used, but it has a higher rate of early complications compared to surgical tracheostomy (ST). Late complication rates were similar between the two tracheostomy methods.
Area of Science:
- Otolaryngology
- Surgical Procedures
- Critical Care Medicine
Context:
- Tracheostomy is a common procedure in intensive care units.
- Percutaneous dilatation tracheostomy (PDT) is gaining popularity over surgical tracheostomy (ST) due to perceived advantages.
- This study compares the techniques and complication rates of ST and PDT.
Purpose:
- To compare the techniques used in surgical tracheostomy (ST) and percutaneous dilatation tracheostomy (PDT).
- To analyze and compare the frequency of early and late postoperative complications between ST and PDT.
Summary:
- A retrospective study of 667 tracheostomies (561 ST, 106 PDT) from 1998-2002 was conducted.
- PDT, primarily using Griggs' technique, showed a higher rate of early postoperative complications (11%) compared to ST (5%).
- No significant difference was found in late postoperative complications between ST and PDT groups.
Impact:
- Highlights that while PDT is increasingly utilized, it is associated with a higher incidence of early complications.
- Provides data for clinicians to consider when choosing between ST and PDT, balancing procedural efficiency with potential risks.
- Suggests further investigation into minimizing early complications associated with PDT.
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