Abstract
Objective: To evaluate the procedure time, complications, and percutaneous dilational tracheostomy (PDT) charges. Design: Operative data were prospectively collected for 356 PDTs including the initial series of 141 PDTs reported in 1994. Short- and long-term complications were retrospectively identified by review of medical records and patient telephone interviews. Materials and Methods: PDT was performed using the 'Ciaglia' method of serial dilation over a Seldinger guidewire. Discharged patients (n = 258) were followed for a mean (± SD) of 10 ± 7 months. Measurements and Main Results: The mean procedure time was 15 ± 8 minutes; operative mortality rate, 0.3% (1/356); overall complication rate, 19% (69/356); long-term symptomatic tracheal stenosis rate, 3.7% (8/214). The mean total patient charge for bedside PDT was $1,370; for open tracheostomy in the operating room, $2,675. Conclusions: Surgeons can rapidly perform PDT at the bedside with a lower risk of complications than open tracheostomy and at a significantly reduced patient charge.
Original language | English (US) |
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Pages (from-to) | 238-244 |
Number of pages | 7 |
Journal | Journal of Trauma - Injury, Infection and Critical Care |
Volume | 41 |
Issue number | 2 |
DOIs | |
State | Published - Aug 1996 |
Externally published | Yes |
Keywords
- Complications
- Percutaneous dilational tracheostomy
- Review
ASJC Scopus subject areas
- Surgery
- Critical Care and Intensive Care Medicine