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Bedside tracheostomy in the intensive care unit

G L Wease¹, M Frikker, M Villalba

¹Department of Surgery, William Beaumont Hospital, Royal Oak, MI, USA.

Archives of Surgery (Chicago, Ill. : 1960)

|May 1, 1996

Summary

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Bedside tracheostomy in the intensive care unit (ICU) is a safe and cost-effective procedure. This method offers comparable safety to operating room tracheostomy while significantly reducing patient costs.

Area of Science:

Critical Care Medicine
Surgical Procedures

Background:

Tracheostomy is a common procedure in intensive care units.
The safety and cost-effectiveness of bedside tracheostomy have been debated.

Purpose of the Study:

To evaluate the safety and cost-effectiveness of elective bedside tracheostomy in the ICU.
To compare complication rates and costs with operating room tracheostomy.

Main Methods:

Retrospective review of 204 adult patients undergoing elective bedside tracheostomy.
Data collected on perioperative complications, cost savings, and risk comparison.

Main Results:

Low rates of major (2.9%) and minor (3.4%) complications were observed.
One late complication of tracheal stenosis was identified.

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Significant cost savings were realized for patients undergoing bedside tracheostomy.

Conclusions:

Bedside tracheostomy in the ICU is a safe procedure with morbidity and mortality rates comparable to operative tracheostomy.
This approach offers substantial cost benefits to patients.