| A clinical and histologic comparison of percutaneous dilational versus conventional surgical tracheostomy. | |
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MedLine Citation:
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PMID: 9396679 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To directly compare percutaneous dilational tracheostomy (PDT) with conventional surgical tracheostomy, a prospective study was performed in 83 patients requiring tracheostomy for prolonged mechanical ventilation in the intensive care unit or after surgery for a large tumor in the upper respirodigestive tract. Median follow-up was 355 days after PDT and 338 days after conventional tracheostomy. The overall morbidity rate was significantly lower with PDT than with conventional tracheostomy (6.4% vs 36.1%; P < 0.001). Compared with conventional tracheostomy, PDT was also associated with a significantly lower incidence of postoperative bleeding (2.1% vs 13.9%; P < 0.05) and postoperative wound infection (0% vs 22.2%; P < 0.001). There were no clinical signs of laryngotracheal stenosis in either group. In conclusion, PDT is a simple, fast, safe bedside procedure that is associated with significantly lower morbidity than standard surgical tracheostomy. |
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Authors:
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S J Stoeckli; T Breitbach; S Schmid |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Laryngoscope Volume: 107 ISSN: 0023-852X ISO Abbreviation: Laryngoscope Publication Date: 1997 Dec |
Date Detail:
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Created Date: 1998-01-08 Completed Date: 1998-01-08 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8607378 Medline TA: Laryngoscope Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1643-6 Citation Subset: IM |
Affiliation:
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Clinic of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Zurich, Switzerland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Esophageal Neoplasms / pathology Female Follow-Up Studies Humans Intraoperative Complications Male Middle Aged Neoplasms, Multiple Primary / pathology, surgery Postoperative Complications Prospective Studies Trachea / surgery* Tracheal Neoplasms / pathology, surgery* Tracheostomy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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