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Related Experiment Videos

Review of percutaneous tracheostomy

D M Powell1, P D Price, L A Forrest

  • 1Department of Otolaryngology, The Ohio State University, Columbus 43210-1282, USA.

The Laryngoscope
|February 24, 1998
PubMed
Summary

Percutaneous tracheostomy methods vary in safety and efficacy. Percutaneous dilational tracheostomy (PDT) shows comparable complication rates to open surgery, but requires surgeon experience.

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Area of Science:

  • Medical procedures
  • Surgical techniques
  • Airway management

Background:

  • Percutaneous tracheostomy offers an alternative to open tracheostomy.
  • Four primary methods exist, with varying levels of investigation and reported outcomes.

Purpose of the Study:

  • To compare the safety and efficacy of four percutaneous tracheostomy techniques.
  • To analyze complication rates across different percutaneous tracheostomy methods.

Main Methods:

  • Comprehensive literature review of 40 series, encompassing 1684 patients.
  • Retrospective analysis of 22 patients undergoing percutaneous dilational tracheostomy (PDT).

Main Results:

  • The Rapitrac method exhibited a high perioperative complication rate.
  • Percutaneous dilational tracheostomy (PDT) demonstrated complication rates similar to open tracheostomy.
  • A learning curve was identified for PDT, necessitating surgeon proficiency.

Conclusions:

  • Percutaneous dilational tracheostomy (PDT) can be a safe and cost-effective option for select patients.
  • Surgeon experience and preparation are crucial for safe implementation of PDT.
  • Further investigation into less-studied methods like Toye and guide wire dilator forceps (GWDF) may be warranted.

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