Document Detail


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
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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.
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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


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