Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study

Autor: Fikkers, B.G., Staatsen, M, Lardenoije, S.G., Hoogen, F.J.A. van den, Hoeven, J.G. van der
Rok vydání: 2004
Předmět:
Zdroj: Critical Care, 8, R299-305
Critical Care, 8, 5, pp. R299-305
ISSN: 1364-8535
Popis: Contains fulltext : 57948.pdf ( ) (Open Access) INTRODUCTION: To evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques, namely guide wire dilating forceps (GWDF) and Ciaglia Blue Rhino (CBR). METHODS: A sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit of the University Medical Centre in Nijmegen, The Netherlands. In the period 1997-2000, 171 patients underwent a tracheostomy with the GWDF technique and, in the period 2000-2003, a further 171 patients with the CBR technique. All complications were prospectively registered on a standard form. RESULTS: There was no significant difference in major complications, either peri-operative or postoperative. We found a significant difference in minor peri-operative complications (P < 0.01) and minor late complications (P < 0.05). CONCLUSION: Despite a difference in minor complications between GWDF and CBR, both techniques seem equally reliable.
Databáze: OpenAIRE
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