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Tracheostomy: Procedure and Tubes

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Related Experiment Video

Updated: May 26, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

Percutaneous tracheostomy, a systematic review.

L Cabrini¹, G Monti, G Landoni

¹University Vita-Salute San Raffaele, Milano, Italy.

Acta Anaesthesiologica Scandinavica

|December 23, 2011

Summary

This summary is machine-generated.

The single-step dilatation technique for percutaneous dilatational tracheostomy (PDT) appears most reliable for critically ill adults. However, more research is needed to definitively identify the optimal PDT method.

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Area of Science:

Critical Care Medicine
Surgical Procedures
Evidence-Based Medicine

Background:

Percutaneous dilatational tracheostomy (PDT) is a frequent procedure in intensive care settings.
Identifying the optimal PDT technique is crucial for patient safety and procedural success.

Purpose of the Study:

To systematically review and meta-analyze randomized controlled trials comparing different PDT techniques.
To determine if any PDT technique is superior regarding intraprocedural complications in critically ill adults.

Main Methods:

A systematic search of BioMedCentral and clinical trial databases was conducted.
Included were randomized trials comparing at least two PDT techniques in adult patients.
Data on patient population, clinical setting, and complications were extracted.

Main Results:

Analysis of 13 randomized trials involving 1130 patients.
Six techniques were compared: multiple dilators, single-step, guide wire dilating forceps, rotational, retrograde, and balloon dilation.
Retrograde tracheostomy showed higher complication rates and conversion needs. Single-step dilatation demonstrated fewer failures and mild complications compared to other methods (P < 0.05).

Conclusions:

Single-step dilatation technique emerged as the most reliable PDT method regarding safety and success.
The current body of randomized trials is insufficient to definitively establish the best PDT technique.