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Volume 25 |
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Number 1 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 25 |
January - March 2009 |
Number 1 |
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Complications and safety of Percutaneous Dilatational
Tracheostomy with Griggs method versus Surgical
Tracheostomy: A prospective trial with six months follow-upKasra Karvandian1, Ata Mahmoodpoor2
Mohammadtaghi Beigmohammadi3, Sarvin Sanaie4ABSTRACT
Objectives: Percutaneous Dilatational Tracheostomy has been developed all across the world during past two decades and is being performed with different methods in Intensive Care Units. The purpose of this study was to compare the complications of surgical tracheostomy versus pecutaneous dilatational traheostomy with Griggs method.
Methodology: In this prospective clinical trial, 100 cases of Percutaneous Dilatational Tracheostomy (PDT), was compared to surgical method. All PDTs were performed with Griggs method. The patients had been followed up for five months on a regular basis and potential complications were recorded.
Results: In surgical group we had three complications leading to death: Bleeding, Sever Emphysema and Pneumothorax. In five months of follow-up, we had no ventilatory complication in PDT group. Bleeding and infection rate in Tracheostomy place itself, Pneumothorax, Emphysema, duration of procedure, and required time for total closure of tracheostomy place in PDT were significantly less than surgical group.
Conclusion: Percutaneous Dilatational Tracheostomy (PDT) with Griggs method has less complication in comparison to Surgical Tracheostomy. As such it should be recommended as a method of choice for tracheostomy in critically ill patients
KEY WORDS: Percutaneous Dilatational Tracheostomy (PDT), Tracheostomy, Grigges, Complications.
Pak J Med Sci January - March 2009 Vol. 25 No. 1 41-45
How to cite this article:
Karvandian K, Mahmoodpoor A, Beigmohammadi M, Sanaie S. Complications and safety of Percutaneous Dilatational Tracheostomy with Griggs method versus Surgical Tracheostomy: A prospective trial with six months follow-up. Pak J Med Sci 2009;25(1):41-45.
1. Kasra Karvandian,
Assistant Professor of Anesthesiology,
2. Ata Mahmoodpoor,
Anesthesiologist,
Fellowship of Critical Care Medicine,
3. Mohammadtaghi Beigmohammadi,
Anesthesiologist,
Fellowship of Critical Care Medicine,
4. Sarvin Sanaie,
General Physician,
1-4: Department of Anesthesiology and Intensive Care Unit,
Imam Khomeini Hospital,
Tehran University of Medical Sciences,
Tehran – Iran.Correspondence
Ata Mahmoodpoor,
No. 661,
First Floor,
Next to Hakiman-e-Noor Hospital,
South Shariati Street,
Tabriz, Iran.
Email: amahmoodpoor@yahoo.com
* Received for Publication: June 17, 2008
* Accepted: October 16, 2008
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