Document Detail


A laboratory comparison of two techniques of emergency percutaneous tracheostomy.
MedLine Citation:
PMID:  9485975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This laboratory study was designed to compare the speed of placement of a percutaneous tracheostomy using two common methods and to evaluate any damage caused to the trachea. The same operator who was experienced with both techniques placed 10 percutaneous tracheostomies into a pig tracheal model, five using the Griggs tracheostomy forceps technique and five using the Ciaglia sequential dilatation technique. Placement of the tracheostomy was significantly faster using the Griggs technique (mean 89 s, range 69-105 s) than using the Ciaglia sequential dilator technique (mean 217 s, range 180-267 s). Damage to the posterior wall was noted in four of the tracheas. We concluded that the Griggs technique is rapid and in trained hands may be suitable for emergency airway access. In addition, the pig trachea model is easy to set up and provides a very useful training tool.
Authors:
H A McLure; D P Dob; M M Mannan; N Soni
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Anaesthesia     Volume:  52     ISSN:  0003-2409     ISO Abbreviation:  Anaesthesia     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-03-04     Completed Date:  1998-03-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370524     Medline TA:  Anaesthesia     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1199-201     Citation Subset:  AIM; IM    
Affiliation:
Magill Department of Anaesthesia, Chelsea and Westminster Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Anesthesiology / education
Animals
Dilatation
Education, Medical, Graduate / methods
Emergencies
Humans
Manikins
Models, Anatomic
Swine
Time Factors
Tracheostomy / adverse effects,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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