Percutaneous dilatation tracheostomy : does it improve the outcome in icu

Abstract EN

Background / Aim : percutaneous dilatation tracheostomy (PDT) is increasingly being used in the intensive care unit (ICU), and has probably increased the number of procedures performed.

The primary aim of this study was to compare the percutaneous dilatation tracheostomy (PDT) with the traditional surgical tracheostomy (ST) as regards ICU outcome.

Patients and methods : A prospective study was performed in the ICU.

46 patients were divided to undergo surgical tracheostomy (ST) or percutaneous dilatation tracheostomy (PDT).

Perioperative complications were recorded and analyzed.

Results : 21 patients underwent (ST) and 25 patients for (PDT).

There were no difference between the two groups in terms of age, sex, BMI, APACHE II score and baseline fractional inspired oxygen (FI02).

The duration of the procedure and intubation days were significantly decreased in (PDT) group compared with (ST) group.

Perioperative complications were significantly more in the (ST) group.

Conclusion : the overall outcome was favorable with the (PDT) group compared with the (ST) group.