Percutaneous tracheostomy--long-term outlook, a review release_mcss6uyvmfa35dehoni3cy7apa

by S Sviri, P V van Heerden, R Samie

Published in Critical Care and Resuscitation .

Volume 6, Issue 4 p280-4 (2004)


To review the techniques and long term complications of the various techniques of percutaneous tracheostomy in the critically ill patient. A review of studies reported on the various percutaneous tracheostomy techniques. A tracheostomy is frequently performed in the critically ill patient when prolonged mechanical ventilation, airway protection and pulmonary toilet are required. It is also facilitates weaning from mechanical ventilation, reduces laryngeal injury and improves patient comfort thus decreasing the need for sedation. The percutaneous dilatational technique can be easily and rapidly performed at the bedside. Short-term complication rates associated with percutaneous tracheostomies range between 7-22% and include bleeding, pneumothorax, subcutaneous emphysema, paratracheal insertion, posterior tracheal wall laceration, damage to or insertion through the endotracheal tube, hypoxia, hypotension and arrhythmias, cuff leak, endotracheal tube obstruction, loss of airway, premature extubation and wound infection. Peri-operative mortality ranges from 0.2 to 0.7%. The incidence of these complications often depends on the experience of the operator. Long-term complications and their incidence are not as well defined. In the critically ill patient who requires a tracheostomy, the percutaneous tracheostomy has become the method of choice as it can be performed at the bedside, leaves a smaller scar after decannulation and may be associated with fewer complications compared with the standard surgical technique.
In text/plain format

Archived Files and Locations

application/pdf  258.5 kB
file_vxhhexoqmrhgvceqv6d7adfcua (webarchive) (web)
Read Archived PDF
Type  article-journal
Stage   published
Year   2004
Language   en ?
PubMed  16556108
Container Metadata
Not in DOAJ
Not in Keepers Registry
ISSN-L:  1441-2772
Work Entity
access all versions, variants, and formats of this works (eg, pre-prints)
Catalog Record
Revision: 8cc69b5c-1b11-444e-b6d5-fbbab1b77502