Document Detail

Standard surgical versus percutaneous dilatational tracheostomy in intensive care patients.
MedLine Citation:
PMID:  17914514     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The present prospective randomized trial compared surgical tracheostomy (ST) and percutaneous dilatational tracheostomy (PDT) in intensive care unit (ICU) patients in terms of outcomes and complications. METHODS: Between January 2003 and December 2005 tracheostomies were performed on critically ill ICU patients in Medical Faculty Hospital in Prague, with a random allocation of 105 patients for ST and 100 for PDT. RESULTS: The 2 groups did not differ significantly in terms of basic demographic characteristics or length of endotracheal intubation prior to the procedure. Following the procedures, the 2 groups did not differ significantly in terms of the time required for decannulation, decannulated patients or mortalities. Post-mortem examination showed that both groups were similar in terms of placement of the tracheostomy tube. Surgical tracheostomy was found to take longer time to perform than PDT (p<0.001). In terms of early postoperative complications, PDT was associated with a higher rate of postoperative bleeding compared to ST (p=0.0302). CONCLUSION: Percutaneous dilatational tracheostomy is a simpler and faster technique to perform, but is associated with a higher occurrence of early complications, particularly postoperative bleeding.
Jindrich Lukas; Jaroslava Duskova; David Lukas; Jan Paska; Martin Stritesky; Tomas Haas
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Saudi medical journal     Volume:  28     ISSN:  0379-5284     ISO Abbreviation:  Saudi Med J     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-04     Completed Date:  2008-02-27     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  7909441     Medline TA:  Saudi Med J     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  1529-33     Citation Subset:  IM    
Department of Otolaryngology, Head and Neck Surgery, College Tutor, Nemocnice Na Homolce, Roentgenova 2, Praha 5, Czech Republic.
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MeSH Terms
Aged, 80 and over
Critical Illness*
Intensive Care*
Intubation, Intratracheal
Middle Aged
Prospective Studies
Tracheostomy / adverse effects,  methods*
Treatment Outcome
Erratum In:
Saudi Med J. 2007 Dec;28(12):1926

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