Comparative study of percutaneous tracheostomy versus standard surgical tracheostomy
Background The tracheostomy is an oldest invasive procedure done for critically ill patients. Now, it is usually performed for better weaning and less risk of intubation-related complications either surgically intraoperative or percutaneous procedure which is easily performed at the bedside by an in...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Egyptian Journal of Chest Disease and Tuberculosis |
| Subjects: | |
| Online Access: | http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2024;volume=73;issue=1;spage=71;epage=77;aulast=Abo |
| _version_ | 1797225799898628096 |
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| author | Mahmoud M Abo Ghanima Amira A El Kholy Walaa M El-Lawaty Khaled M Zamzam Amgad A Farhat |
| author_facet | Mahmoud M Abo Ghanima Amira A El Kholy Walaa M El-Lawaty Khaled M Zamzam Amgad A Farhat |
| author_sort | Mahmoud M Abo Ghanima |
| collection | DOAJ |
| description | Background The tracheostomy is an oldest invasive procedure done for critically ill patients. Now, it is usually performed for better weaning and less risk of intubation-related complications either surgically intraoperative or percutaneous procedure which is easily performed at the bedside by an intensivist. The aim of this study is to compare between surgical and percutaneous tracheostomy (PT) in critically ill patients with prolonged ventilation who needed tracheostomy. Methods This randomized controlled study was done at the respiratory ICU - Chest Department, Operating Room of the Otorhinolaryngology Department at Tanta University Hospitals, and respiratory ICU Air Forces Hospital. 30 critically ill patients with prolonged mechanical ventilation were divided into two groups. Group I (15 patients) underwent surgical tracheostomy (ST) and group II (15 patients) underwent fiberoptic bronchoscopic-guided PT, from August 2020 to December 2021. Results 30 patients were enrolled in this study. Neck circumference (cm) was significantly higher in surgical group (P = 0.013). Also, the most important is that the duration of procedure is shorter in percutaneous group (P < 0.001). Regarding delayed complications were insignificantly different between both groups except for stomal infection which was higher in surgical group (P = 0.042). Regarding secondary outcomes of the procedure, successful decannulation, permanent tracheostomy, and death due to primary disease were insignificantly different between the studied groups. Conclusion Percutaneous tracheostomy is safer, faster, time saving and less complicated than surgical tracheostomy. |
| first_indexed | 2024-03-07T21:35:16Z |
| format | Article |
| id | doaj.art-0ea1085872cb4cd88c1527295132a76c |
| institution | Directory Open Access Journal |
| issn | 0422-7638 2090-9950 |
| language | English |
| last_indexed | 2024-04-24T14:14:46Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Egyptian Journal of Chest Disease and Tuberculosis |
| spelling | doaj.art-0ea1085872cb4cd88c1527295132a76c2024-04-03T08:47:55ZengWolters Kluwer Medknow PublicationsEgyptian Journal of Chest Disease and Tuberculosis0422-76382090-99502024-01-01731717710.4103/ecdt.ecdt_47_23Comparative study of percutaneous tracheostomy versus standard surgical tracheostomyMahmoud M Abo GhanimaAmira A El KholyWalaa M El-LawatyKhaled M ZamzamAmgad A FarhatBackground The tracheostomy is an oldest invasive procedure done for critically ill patients. Now, it is usually performed for better weaning and less risk of intubation-related complications either surgically intraoperative or percutaneous procedure which is easily performed at the bedside by an intensivist. The aim of this study is to compare between surgical and percutaneous tracheostomy (PT) in critically ill patients with prolonged ventilation who needed tracheostomy. Methods This randomized controlled study was done at the respiratory ICU - Chest Department, Operating Room of the Otorhinolaryngology Department at Tanta University Hospitals, and respiratory ICU Air Forces Hospital. 30 critically ill patients with prolonged mechanical ventilation were divided into two groups. Group I (15 patients) underwent surgical tracheostomy (ST) and group II (15 patients) underwent fiberoptic bronchoscopic-guided PT, from August 2020 to December 2021. Results 30 patients were enrolled in this study. Neck circumference (cm) was significantly higher in surgical group (P = 0.013). Also, the most important is that the duration of procedure is shorter in percutaneous group (P < 0.001). Regarding delayed complications were insignificantly different between both groups except for stomal infection which was higher in surgical group (P = 0.042). Regarding secondary outcomes of the procedure, successful decannulation, permanent tracheostomy, and death due to primary disease were insignificantly different between the studied groups. Conclusion Percutaneous tracheostomy is safer, faster, time saving and less complicated than surgical tracheostomy.http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2024;volume=73;issue=1;spage=71;epage=77;aulast=Abopercutaneous tracheostomysurgical tracheostomycritical ill patientweanning |
| spellingShingle | Mahmoud M Abo Ghanima Amira A El Kholy Walaa M El-Lawaty Khaled M Zamzam Amgad A Farhat Comparative study of percutaneous tracheostomy versus standard surgical tracheostomy Egyptian Journal of Chest Disease and Tuberculosis percutaneous tracheostomy surgical tracheostomy critical ill patient weanning |
| title | Comparative study of percutaneous tracheostomy versus standard surgical tracheostomy |
| title_full | Comparative study of percutaneous tracheostomy versus standard surgical tracheostomy |
| title_fullStr | Comparative study of percutaneous tracheostomy versus standard surgical tracheostomy |
| title_full_unstemmed | Comparative study of percutaneous tracheostomy versus standard surgical tracheostomy |
| title_short | Comparative study of percutaneous tracheostomy versus standard surgical tracheostomy |
| title_sort | comparative study of percutaneous tracheostomy versus standard surgical tracheostomy |
| topic | percutaneous tracheostomy surgical tracheostomy critical ill patient weanning |
| url | http://www.ejcdt.eg.net/article.asp?issn=0422-7638;year=2024;volume=73;issue=1;spage=71;epage=77;aulast=Abo |
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