OBJECTIVE: To compare the safety and efficacy of single- vs. multiple-dilator techniques in the performance of percutaneous dilational tracheostomy. DESIGN: Prospective randomized trial. SETTING:Intensive care units at a level 1 trauma center. PATIENTS: Fifty consecutive patients requiring tracheostomy for airway control or prolonged mechanical ventilatory support. INTERVENTIONS: Patients were randomized to receive a percutaneous dilational tracheostomy by either the single- or multiple-dilator technique described by Ciaglia. MEASUREMENTS AND MAIN RESULTS:Percutaneous dilational tracheostomy was performed using the single-dilator technique in 6:01 +/- 3:03 mins and by the multiple-dilator technique in 10:01 +/- 4:26 mins (p <.0006). There were no statistically significant differences in complication rates between the two techniques. No major complications occurred with either technique. CONCLUSION: The single-dilator percutaneous tracheostomy technique is a safe, cost-effective, and more rapidly performed method for bedside tracheostomy in the intensive care unit.
RCT Entities:
OBJECTIVE: To compare the safety and efficacy of single- vs. multiple-dilator techniques in the performance of percutaneous dilational tracheostomy. DESIGN: Prospective randomized trial. SETTING: Intensive care units at a level 1 trauma center. PATIENTS: Fifty consecutive patients requiring tracheostomy for airway control or prolonged mechanical ventilatory support. INTERVENTIONS:Patients were randomized to receive a percutaneous dilational tracheostomy by either the single- or multiple-dilator technique described by Ciaglia. MEASUREMENTS AND MAIN RESULTS: Percutaneous dilational tracheostomy was performed using the single-dilator technique in 6:01 +/- 3:03 mins and by the multiple-dilator technique in 10:01 +/- 4:26 mins (p <.0006). There were no statistically significant differences in complication rates between the two techniques. No major complications occurred with either technique. CONCLUSION: The single-dilator percutaneous tracheostomy technique is a safe, cost-effective, and more rapidly performed method for bedside tracheostomy in the intensive care unit.
Authors: José M Añón; Maria Paz Escuela; Vicente Gómez; Abelardo García de Lorenzo; Juan C Montejo; Jorge López Journal: Intensive Care Med Date: 2004-04-30 Impact factor: 17.440
Authors: A Parchani; R Peralta; A El-Menyar; M Tuma; A Zarour; S Kumar; H Abdulrahman; Y AbdulRahman; H Al-Thani; R Latifi Journal: Eur J Trauma Emerg Surg Date: 2013-06-08 Impact factor: 3.693
Authors: José M Añón; María Soledad Arellano; Manuel Pérez-Márquez; Claudia Díaz-Alvariño; José A Márquez-Alonso; Jorge Rodríguez-Peláez; Kapil Nanwani-Nanwani; Ana Martín-Pellicer; Belén Civantos; Alba López-Fernández; Irene Seises; Jorge García-Nerín; Juan C Figueira; Henar Casero; Javier Vejo; Alexander Agrifoglio; Lucía Cachafeiro; Mariana Díaz-Almirón; Jesús Villar Journal: Trials Date: 2021-06-29 Impact factor: 2.279