Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques
نویسنده
چکیده
BACKGROUND Although the standard tracheostomy described in 1909 by Jackson has been extensively used in critical patients, a more simple procedure that can be performed at the bedside is needed. Since 1957 several different types of percutaneous tracheostomy technique have been described. The purpose of the present study was to compare two bedside percutaneous tracheostomy techniques: percutaneous dilatational tracheostomy (PDT) and the guidewire dilating forceps (GWDF). MATERIALS AND METHODS A prospective study in two medical/surgical intensive care units (ICUs) was carried out. Sixty-three critically ill patients who required endotracheal intubation for longer than 15 days were consecutively selected to undergo PDT (25 patients) or GWDF (38 patients) technique. Intraoperative and postoperative complications were recorded. RESULTS Age (mean +/- standard error) was 63 +/- 1.1 years. The patients had been mechanically ventilated for an average of 19.8 +/- 1.2 days. The GWDF technique was significantly faster than PDT technique (P = 0.02). Fifteen complications occurred in 10 out of 63 (15%) patients. They were as follows: tracheal tear (one patient in each group; in one case this was due to false passage); transient hypotension (one patient in the PDT group and two patients in the GWDF group); atelectasis (one patient in the PDT group); and haemorrhage (one patient in the PDT group and three patients in the GWDF group). In both patients with tracheal tear, reduced arterial oxygen saturation (SaO2) with concomitant subcutaneous emphysema ensued. CONCLUSION We found no statistical differences between complications with both techniques. The surgical time required for the GWDF technique was less than that for PDT.
منابع مشابه
Comparative clinical trial between Ciaglia and Griggs techniques during tracheostomy performed in patients admitted to intensive care unit.
Percutaneous dilatation tracheostomy (PDT) is one of the most frequent interventions in ventilator dependant ICU patients. Ciaglia and Griggs are two common PDT techniques. Few studies are available comparing these two methods, but there is no data available to compare these two techniques in Iranian population. The aim of this study was to compare Ciaglia and Griggs technique in our population...
متن کاملPercutaneous dilatational tracheostomy – a comparison of three methods: Ciaglia Blue Rhino, PercuTwist and Griggs' Guidewire Dilation Forceps (GWDF)
Thirty-one patients (age 64 ± 13 [mean ± SD]) were enrolled, PDT were performed in three groups, 10 Ciaglia Blue Rhino (Cook), 10 PercuTwist (Rüsch) – a device employing a screw with a hydrophilic coating and 11 GWDF – using Griggs' specially designed dilational forceps (Portex). Duration of intervention, oxygenation parameters, blood loss and further complications peri-interventionally and pos...
متن کاملComparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study
INTRODUCTION To evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques, namely guide wire dilating forceps (GWDF) and Ciaglia Blue Rhino (CBR). METHODS A sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit...
متن کاملدو مورد Percutaneous Dilatational Tracheostomy و مقایسه آن با روش جراحی در بیمارستان امام خمینی(ره) تهران (گزارش موردی)
Background: percutaneous dilatational tracheostomy was invented by ciaglia in 1985. With advent of various instruments, various methods such as Fantoni, Grigges and etc, it became a widesepreadly used method of tracheostomy, especially in intensive care unit wards. In our country this was began in 2005, along with many work shops conducted by anesthesiology department of Tehran University of Me...
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عنوان ژورنال:
- Critical Care
دوره 4 شماره
صفحات -
تاریخ انتشار 2000