Percutaneous dilational tracheostomy: report of 356 cases
- PMID:8760530
- DOI: 10.1097/00005373-199608000-00007
Percutaneous dilational tracheostomy: report of 356 cases
Abstract
Objective: To evaluate the procedure time, complications, and percutaneous dilational tracheostomy (PDT) charges.
Design: Operative data were prospectively collected for 356 PDTs including the initial series of 141 PDTs reported in 1994. Short- and long-term complications were retrospectively identified by review of medical records and patient telephone interviews.
Materials and methods: PDT was performed using the "Ciaglia" method of serial dilation over a Seldinger guidewire. Discharged patients (n = 258) were followed for a mean (+/-SD) of 10 +/- 7 months.
Measurements and main results: The mean procedure time was 15 +/- 8 minutes; operative mortality rate, 0.3% (1/356); overall complication rate, 19% (69/356); long-term symptomatic tracheal stenosis rate, 3.7% (8/214). The mean total patient charge for bedside PDT was $1,370; for open tracheostomy in the operating room, $2,675.
Conclusions: Surgeons can rapidly perform PDT at the bedside with a lower risk of complications than open tracheostomy and at a significantly reduced patient charge.
Comment in
- Percutaneous dilatational tracheostomy has been advocated by many to be the procedure of choice for a patient requiring a tracheostomy.Barba CA.Barba CA.J Trauma. 1997 Apr;42(4):756-8. doi: 10.1097/00005373-199704000-00035.J Trauma. 1997.PMID:9137274No abstract available.
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