Korean J Anesthesiol.  1994 Dec;27(12):1795-1800. 10.4097/kjae.1994.27.12.1795.

Percutaneous Tracheostomy: a comparison with standard surgical tracheostomy

• Moon JS
• Cho YN
• Shin KM
• Hong SY
• Choi YR
• Ahn MS

• KMID: 2240465
• DOI: http://doi.org/10.4097/kjae.1994.27.12.1795

Abstract

A prospective study was undertaken to compare, in intensive care patients, the safety and utility of a percutaneous tracheostomy teehnique with a surgieal tracheostomy technique. Between March of 1992 and June of 1993 we randomly selected 40 patients of the many who were in need of a tracheostomy. After dividing those patients into 2 groups, we per- formed the procedures. Twenty patients received a standard surgicsl traeheostomy, the other twenty received a percutaneous tracheostomy. We found complications occurring in 6 patients who received the standard surgical tracheostomy while only 1 patient suffered complications from the group having the percutaneous tracheostomy. The most common complications being subcutaneous emphysema, pneumothorax, pnemonia, and hemorrhage. Post-decannulation scar was 3.286+/-1.204mm in percutaneous group, 20.36+/-7.26mm in standard group. In comparison to standard surgical tracheoatomy, percutaneous tracheostomies were rapidly and easily performed and asaociated with significantly fewer complication and small post-decannulation scars.

Keyword

Percutaneous tracheostomy; Tracheostomy; Complicatian; Post-decannuletion scar

MeSH Terms

Cicatrix
Hemorrhage
Humans
Critical Care
Pneumothorax
Prospective Studies
Subcutaneous Emphysema
Tracheostomy*