Document Detail

Long-term outcomes following percutaneous tracheostomy using the Griggs technique.
MedLine Citation:
PMID:  12973964     Owner:  NLM     Status:  MEDLINE    
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.
S Sviri; R Samie; B L Roberts; P V van Heerden
Related Documents :
6691634 - Valve replacement for native valve endocarditis.
8228594 - The management of lateral sinus thrombosis.
1249964 - Late results of surgery for left ventricular outflow tract obstruction in children.
3296794 - Stop smoking advice by physicians: a feasible approach?
24163324 - Protection of parathyroid function using carbon nanoparticles during thyroid surgery.
15000004 - Treatment planning in class iii malocclusion.
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    
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
Aged, 80 and over
Airway Obstruction / surgery
Follow-Up Studies
Middle Aged
Postoperative Period
Prospective Studies
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.