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Titolo:
Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques
Autore:
Anon, JM; Gomez, V; Escuela, MP; De Paz, V; Solana, LF; De La Casa, RM; Perez, JC; Zeballos, E; Navarro, L;
Indirizzi:
Hosp Virgen de la Luz, Hdad, Intens Care Unit, Cuenca 16002, Spain Hosp Virgen de la Luz Cuenca Spain 16002 Care Unit, Cuenca 16002, Spain Clin Moncloa, Intens Care Unit, Madrid, Spain Clin Moncloa Madrid SpainClin Moncloa, Intens Care Unit, Madrid, Spain
Titolo Testata:
CRITICAL CARE
fascicolo: 2, volume: 4, anno: 2000,
pagine: 124 - 128
SICI:
1466-609X(2000)4:2<124:PTCOCA>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRITICALLY ILL PATIENTS; DILATATIONAL TRACHEOSTOMY; DILATIONAL TRACHEOSTOMY; INTENSIVE-CARE; BEDSIDE PROCEDURE; COMPLICATIONS; EXPERIENCE; TRACHEOTOMY; INTUBATION; GUIDANCE;
Keywords:
complications; percutaneous; tracheostomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Anon, JM Hosp Virgen de la Luz, Hdad, Intens Care Unit, Donantes de Sangre1, Cuenca 16002, Spain Hosp Virgen de la Luz Donantes de Sangre 1 Cuenca Spain 16002 in
Citazione:
J.M. Anon et al., "Percutaneous tracheostomy: comparison of Ciaglia and Griggs techniques", CRIT CARE, 4(2), 2000, pp. 124-128

Abstract

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 differenttypes of percutaneous tracheostomy technique have been described. The purpose of the present study was to compare two bedside percutaneaus 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 (SaO(2)) with concomitant subcutaneous emphysema ensued. Conclusion: We found no statistical differences between complications withboth techniques. The surgical time required for the GWDF technique was less than that for PDT.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 12:18:05