Smartest Doc
Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator - A prospective randomized study Full Text
Indian Journal of Critical Care Medicine, 07/31/2012
Clinical Article
Kumar M et al. – The findings suggest that both the techniques seem to be equally reliable for carrying out percutaneous dilatational tracheostomy (PDT) at bedside in the Intensive Care Unit (ICU).
Methods- Thirty Intensive Care Unit (ICU) patients on prolonged mechanical ventilation and requiring tracheostomy were included in the 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.
- Time taken for tracheostomy was 11.68±6.48min for GP–GWDF and 13.93±11.54min 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).