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Percutaneous tracheostomy by Griggs technique under rigid bronchoscopic guidance is safe and feasible in children

Gulnur Gollu1, Ufuk Ates1, Ozlem S Can2

  • 1Department of Pediatric Surgery, Ankara University Medical Faculty, Ankara, Turkey.

Journal of Pediatric Surgery
|June 15, 2016
PubMed

Insights

Percutaneous tracheostomy (PT) is a safe and feasible procedure for pediatric patients, including infants. The Griggs technique demonstrated a lower complication rate compared to the Giaglia technique in this study.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Tracheostomy is a common procedure for pediatric airway management.
  • Percutaneous tracheostomy (PT) offers a less invasive alternative to surgical tracheostomy.
  • Data on the safety and feasibility of PT in very young children is limited.

Purpose of the Study:

  • To prospectively evaluate the safety and feasibility of percutaneous tracheostomy (PT) in pediatric patients.
  • To compare outcomes between the Giaglia and Griggs techniques for pediatric PT.
  • To assess complications and long-term outcomes of PT in infants and children.

Main Methods:

  • Prospective data collection on 51 pediatric patients undergoing PT.
  • Initial 6 procedures used the Giaglia technique; subsequent 45 used the Griggs technique.
  • Demographic data, indications, complications, and outcomes were recorded.

Main Results:

  • The Griggs technique resulted in no major complications in 45 procedures.
  • One major complication (esophageal perforation) occurred with the Giaglia technique.
  • 3.9% of patients experienced stoma site narrowing requiring dilation.

Conclusions:

  • Percutaneous tracheostomy (PT) is a safe, feasible, and less invasive option for pediatric patients, including infants.
  • The Griggs technique is recommended for pediatric PT due to its safety profile.
  • Pediatric PT should be performed in an operating room with rigid bronchoscopic guidance.
Abstract

Keywords:
BronchoscopyChildrenInfantPercutaneousTracheostomy

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