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URL: http://rjms.iums.ac.ir/article-1-2386-en.html
, Valliollah Hassani , Seyed Hamid-Reza Faiz , Shahrbanoo Latifi , Mohammad Reza Hajiesmaeili , Alireza Sedaghat , Reza Soleimanirad
Background: Prolonged
intubation and need to mechanical ventilation is an indication for
tracheostomy. This procedure can be done, surgical or percutaneous. In this
study, we compare surgical and percutaneous dilated tracheostomy.
Methods: In this retrospective study, which was
conducted in ICU wards of Rasool Akram Hospital from Mehr 1387 to Mehr 1390. We
compared complication of tracheostomized patients in two groups.
Results: In this study, early postoperative bleeding,
in 11 cases, 1case (4.2%) in PDT group and 10 cases (17.5%) in surgical group
was shown (with a significant difference). Surgical site infection in 1 case, 2
cases (7.4%) in PDT group and 1 case (4.2%) in surgical group was shown (with a
non-significant difference). Subcutaneous emphysema in 11 cases, 2 case (8.3%)
in PDT group and 1 case (1.7%) in surgical group with a significant difference,
was shown. Other complications such as tracheal posterior wall were not shown
in both groups.
Conclusion: Because of lower complications rate and
bedside PDT doing, percutaneous tracheostomy is a safe and suitable alternative
for surgical tracheostomy.
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