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Titolo:
Bedside percutaneous tracheostomy: Clinical comparison of Griggs and Fantoni techniques
Autore:
Byhahn, C; Wilke, HJ; Lischke, V; Rinne, T; Westphal, K;
Indirizzi:
JW Goethe Univ Hosp Ctr, Dept Anesthesiol Intens Care Med & Pain Control, D-60590 Frankfurt, Germany JW Goethe Univ Hosp Ctr Frankfurt Germany D-60590 590 Frankfurt, Germany JW Goethe Univ Hosp Ctr, Dept Cardiovasc & Thorac Surg, D-60590 Frankfurt,Germany JW Goethe Univ Hosp Ctr Frankfurt Germany D-60590 0590 Frankfurt,Germany
Titolo Testata:
WORLD JOURNAL OF SURGERY
fascicolo: 3, volume: 25, anno: 2001,
pagine: 296 - 301
SICI:
0364-2313(200103)25:3<296:BPTCCO>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONVENTIONAL SURGICAL TRACHEOSTOMY; DILATATIONAL TRACHEOSTOMY; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Byhahn, C JW Goethe Univ Hosp Ctr, Dept Anesthesiol Intens Care Med & PainControl, Theodor Stern Kai 7, D-60590 Frankfurt, Germany JW Goethe Univ Hosp Ctr Theodor Stern Kai 7 Frankfurt Germany D-60590
Citazione:
C. Byhahn et al., "Bedside percutaneous tracheostomy: Clinical comparison of Griggs and Fantoni techniques", WORLD J SUR, 25(3), 2001, pp. 296-301

Abstract

Elective tracheostomy is widely considered the preferred airway managementof patients on long-term ventilation. In addition to open tracheostomy, a number of percutaneous procedures have been introduced during the last two decades, among them techniques according to Griggs (guidewire dilating forceps, or GWDF) and to Fantoni (translaryngeal tracheostomy, or TLT). The aimof the study was to evaluate these two techniques in terms of perioperative complications, risks, and benefits in critically ill patients. A series of 100 critically ill adult patients on long-term ventilation underwent elective percutaneous tracheostomy, either according to the Griggs (n = 50) or Fantoni (n = 50) technique. Tracheostomy was performed under general anesthesia at the patient's bedside. The mean (+/-SD) operating times were short,9.2 +/- 3.9 minutes (TLT) and 4.8 +/- 3.7 minutes (GWDF) on average. Perioperative complications were noted in 4% of patients during either TLT or GWDF and included massive bleeding, mediastinal emphysema, posterior trachealwall injury, and pretracheal placement of the tracheostomy tube. With regard to oxygenation, pre- and postoperative arterial oxygen tension divided by the fraction of inspired oxygen (PaO2/FiO(2)) ratios did not vary significantly, and no perioperative hypoxia was noted regardless of the technique used. We conclude that both TLT and GWDF represent attractive, safe alternatives to conventional tracheostomy or other percutaneous procedures if carefully performed by experienced physicians and under bronchoscopic control.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 15/07/20 alle ore 04:55:46