Cargando…
Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study
Percutaneous dilatational tracheostomy (PDT) is a frequently performed surgical procedure on critically ill patients. This study was designed to compare its two methods: Griggs guide wire dilating forceps (GWDF) technique and the ULTRA-perc single-stage dilator technique MATERIALS AND METHODS: Thirt...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3439784/ https://www.ncbi.nlm.nih.gov/pubmed/22988363 http://dx.doi.org/10.4103/0972-5229.99117 |
_version_ | 1782243069424304128 |
---|---|
author | Kumar, Mritunjay Trikha, Anjan Chandralekha, |
author_facet | Kumar, Mritunjay Trikha, Anjan Chandralekha, |
author_sort | Kumar, Mritunjay |
collection | PubMed |
description | Percutaneous dilatational tracheostomy (PDT) is a frequently performed surgical procedure on critically ill patients. This study was designed to compare its two methods: Griggs guide wire dilating forceps (GWDF) technique and the ULTRA-perc single-stage dilator technique MATERIALS AND METHODS: Thirty Intensive Care Unit (ICU) patients on prolonged mechanical ventilation and requiring tracheostomy were included in our prospective randomized study. The first group (GP-GWDF) underwent PDT by the GWDF technique and the second group by the ULTRA-perc technique (GP-UP). Time for the procedure and early and late procedural complications were recorded and compared in between the two groups. RESULTS: Time taken for tracheostomy was 11.68 ± 6.48 min for GP-GWDF and 13.93 ± 11.54 min for GP-UP (P-value 0.486). Desaturation was noted in two patients in GP-GWDF versus five in GP-UP (P-value = 0.195). Hypercapnea and rise in peak airway pressure occurred in one patient in GP-GWDF versus two in GP-UP (P-value = 0.543). Loss of airway was recorded in two patients in GP-UP and in none in GP-GWDF (P-value = 0.143). Subcutaneous emphysema, pneumothorax and pneumomediastinum occurred in one patient in GP-UP. No major complications were observed in GP-GWDF (P-value = 0.309). Hoarseness of voice was noted in one patient in each group (P-value = 0.659). CONCLUSION: Both the techniques seem to be equally reliable for carrying out PDT at bedside in the ICU. |
format | Online Article Text |
id | pubmed-3439784 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-34397842012-09-17 Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study Kumar, Mritunjay Trikha, Anjan Chandralekha, Indian J Crit Care Med Research Article Percutaneous dilatational tracheostomy (PDT) is a frequently performed surgical procedure on critically ill patients. This study was designed to compare its two methods: Griggs guide wire dilating forceps (GWDF) technique and the ULTRA-perc single-stage dilator technique MATERIALS AND METHODS: Thirty Intensive Care Unit (ICU) patients on prolonged mechanical ventilation and requiring tracheostomy were included in our prospective randomized study. The first group (GP-GWDF) underwent PDT by the GWDF technique and the second group by the ULTRA-perc technique (GP-UP). Time for the procedure and early and late procedural complications were recorded and compared in between the two groups. RESULTS: Time taken for tracheostomy was 11.68 ± 6.48 min for GP-GWDF and 13.93 ± 11.54 min for GP-UP (P-value 0.486). Desaturation was noted in two patients in GP-GWDF versus five in GP-UP (P-value = 0.195). Hypercapnea and rise in peak airway pressure occurred in one patient in GP-GWDF versus two in GP-UP (P-value = 0.543). Loss of airway was recorded in two patients in GP-UP and in none in GP-GWDF (P-value = 0.143). Subcutaneous emphysema, pneumothorax and pneumomediastinum occurred in one patient in GP-UP. No major complications were observed in GP-GWDF (P-value = 0.309). Hoarseness of voice was noted in one patient in each group (P-value = 0.659). CONCLUSION: Both the techniques seem to be equally reliable for carrying out PDT at bedside in the ICU. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3439784/ /pubmed/22988363 http://dx.doi.org/10.4103/0972-5229.99117 Text en Copyright: © Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kumar, Mritunjay Trikha, Anjan Chandralekha, Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study |
title | Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study |
title_full | Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study |
title_fullStr | Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study |
title_full_unstemmed | Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study |
title_short | Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator – A prospective randomized study |
title_sort | percutaneous dilatational tracheostomy: griggs guide wire dilating forceps technique versus ultra-perc single-stage dilator – a prospective randomized study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3439784/ https://www.ncbi.nlm.nih.gov/pubmed/22988363 http://dx.doi.org/10.4103/0972-5229.99117 |
work_keys_str_mv | AT kumarmritunjay percutaneousdilatationaltracheostomygriggsguidewiredilatingforcepstechniqueversusultrapercsinglestagedilatoraprospectiverandomizedstudy AT trikhaanjan percutaneousdilatationaltracheostomygriggsguidewiredilatingforcepstechniqueversusultrapercsinglestagedilatoraprospectiverandomizedstudy AT chandralekha percutaneousdilatationaltracheostomygriggsguidewiredilatingforcepstechniqueversusultrapercsinglestagedilatoraprospectiverandomizedstudy |