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Submitted: 14 Jan 2014
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J Cardiovasc Thorac Res. 2014;6(1): 43-46.
doi: 10.5681/jcvtr.2014.008
PMID: 24753831
PMCID: PMC3992731
  Abstract View: 1632
  PDF Download: 729

Original Article

Percutaneous Dilatational Tracheostomy and Surgically Created Tracheostomy in ICU Patients

Mohammad Amin Valizade Hasanloei 1, Alireza Mahoori 1, Amir Mohammad Bazzazi 2, Samad EJ EJ Golzari 3*, Tohid Karami 1

1 Department of Anesthesiology and Intensive Care Medicine, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran
3 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Email: dr.golzari@hotmail.com

Abstract

Introduction: Following advances of Intensive Care medicine and widespread administration of mechanical ventilation, tracheostomy has become one of the indispensable surgical procedures. During this research we tried to assess and compare two main strategies for doing tracheostomy: Surgically Created Tracheostomy (SCT) and Percutaneous Dilatational Tracheostomy (PDT).Methods: In a randomized clinical trial, 60 cases of patients who were admitted in Intensive Care Unit (ICU) and needed tracheostomy during their stay were enrolled. Patients were randomly divided into two groups. SCT technique was considered for the first group and PDT for the second one. Demographic characteristics, associated and underlying diseases, type and duration of procedure, duration of receiving mechanical ventilation and ICU stay, expenses and complications of tracheostomy including bleeding, subcutaneous emphysema, pneumothorax, stomal infection and airway loss were all recorded during study and compared between both groups.Results: There were significant differences between two groups of patients in terms of duration of receiving mechanical ventilation (P=0.04), duration of tracheostomy procedure (P=0.001) and procedure expenses (P=0.04). There was no significant difference between two groups in terms of age and gender of patients, duration of ICU stay and complications of tracheostomy including copious bleeding, stomal infection, subcutaneous emphysema and airway.Conclusion: According to the results of our study and similar researches, it can be concluded that PDT can be considered as the preferred procedure in cautiously selected patients during their ICU stay.
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