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[Tracheotomy].
Marianne Kromann Nielsen1, Erik Gustav Hägerström, Waldemar Trolle
1mariannekromann@dadlnet.dk.
Ugeskrift for Laeger
|April 12, 2017
Summary
Tracheotomy procedures in Denmark have tripled, with percutaneous dilatational tracheotomy now more common. Surgical tracheotomy remains crucial for patients with specific medical or anatomical challenges.
Area of Science:
- Medicine
- Surgical Procedures
- Otolaryngology
Background:
- Tracheotomy rates in Denmark have significantly increased over the last 15 years.
- Percutaneous dilatational tracheotomy (PDT) has seen a substantial rise in utilization due to its accessibility.
- PDT accounted for 66% of procedures in 2015, up from 9% in 2000.
Purpose of the Study:
- To analyze trends in tracheotomy procedures in Denmark.
- To compare the increasing use of percutaneous dilatational tracheotomy versus surgical tracheotomy.
- To highlight the indications for choosing surgical tracheotomy over PDT.
Main Methods:
- Retrospective analysis of tracheotomy procedure data in Denmark over a 15-year period.
- Comparison of the proportion of percutaneous dilatational tracheotomy and surgical tracheotomy over time.
- Review of patient-specific factors influencing the choice of tracheotomy method.
Main Results:
- Tracheotomy procedures in Denmark have approximately tripled in the past 15 years.
- The proportion of percutaneous dilatational tracheotomy increased from 9% in 2000 to 66% in 2015.
- Surgical tracheotomy is indicated for patients with unfavorable anatomy, coagulopathy, previous neck irradiation, or prior tracheostomy.
Conclusions:
- The increasing trend in tracheotomies is largely driven by the adoption of percutaneous dilatational tracheotomy.
- Percutaneous dilatational tracheotomy is suitable for patients with favorable conditions due to its accessibility.
- Surgical tracheotomy remains a vital and safer alternative for complex patient cases requiring careful consideration of anatomical and medical factors.