| Long-term outcomes following percutaneous tracheostomy using the Griggs technique. | |
| | |
MedLine Citation:
|
PMID: 12973964 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Percutaneous tracheostomy is commonly performed in the intensive care unit. This study assesses the long-term outcomes following percutaneous tracheostomy using the Griggs technique. We carried out a prospective observational cohort study. Two hundred and eight patients who had undergone percutaneous tracheostomy between 1 September 1996 and 31 July 2000 and who were alive at least six months following the procedure, were included in the study. Median follow-up was at 30 months. All patients were sent questionnaires regarding relevant symptoms. One hundred and six (51%) responded and were invited for further follow-up. Forty-three (20.6%) patients underwent scar evaluation by the investigators and 41/208 (19.7%) underwent spirometry. Of the responders, 38% complained of some degree of voice change and 12% complained of ongoing severe cough. Thirty-one per cent complained of shortness of breath, with more than half of these having concomitant heart or lung disease, which may explain this. Eighty-one per cent of patients had minimally visible or a visible but neat scar. Eight patients (8/41 (19.5%)) had some evidence of upper airway obstruction on spirometry, but only 2/41 (5% of patients) were symptomatic (stridor or shortness of breath). We conclude that percutaneous tracheostomy using the Griggs technique has an acceptable long-term complication rate. |
| | |
Authors:
|
S Sviri; R Samie; B L Roberts; P V van Heerden |
Related Documents
:
|
6590024 - Haematemesis and melaena at st. vincent's hospital, melbourne. 7427014 - The non-surgical treatment of peyronie's disease. 3361674 - Aspiration and tetracycline sclerotherapy of hydroceles. 3873614 - A randomized trial of coronary artery bypass surgery. survival of patients with a low e... 16132404 - Management strategies, early results, benefits, and risk factors of laparoscopic repair... 10511404 - An open, randomized, multicentre study comparing the use of low-dose ceftazidime or cef... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Anaesthesia and intensive care Volume: 31 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2003 Aug |
Date Detail:
|
Created Date: 2003-09-16 Completed Date: 2003-12-23 Revised Date: 2006-08-28 |
Medline Journal Info:
|
Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
|
Languages: eng Pagination: 401-7 Citation Subset: IM |
Affiliation:
|
Department of Intensive Care, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, W.A. 6009. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Airway Obstruction / surgery Follow-Up Studies Humans Middle Aged Postoperative Period Prospective Studies Questionnaires Spirometry Tracheostomy / adverse effects, methods* Voice Disorders / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Propofol alone, sevoflurane alone, and combined propofol-sevoflurane anaesthesia in electroconvulsiv...
Next Document: Clinical evaluation of the HemoSonic monitor in cardiac surgical patients in the ICU.