Can mini-tracheostomy needle be safer for residency training in percutaneous dilatation tracheostomy applications in intensive care unit?

Aim
 The aim of study to evaluate the bedside percutaneous dilatation tracheostomy, performed with Fiberoptic bronchoscopy guided Griggs technique using a mini-tracheostomy needle, by residents in intensive care unit retrospectively.
 Materials and Methods
 Percutaneous tracheostomys 20 patients needle. All tracheostomy procedures were resident who was currently undergoing residency training. used all procedures. complications, time from needle insertion cannula also noted. 
 Results
 average age 69.8 ± 16.14 years. mean Acute Physiology Chronic Health Assessment (APACHE) II score 23.05 6.16, Glasgow Coma Scale (GCS) 10 3.43, Sepsis-Related Organ Failure (SOFA) 7.2 2.11. procedure 13 1.68 minutes, day application 6.35 4.59. Twelve (60%) switched home-type ventilators. Ten (50%) transferred palliative ward ventilator. Mortality rate 20% (4 patients) at 90 days. When evaluated terms complications; none had pneumothorax, subcutaneous emphysema, posterior tracheal wall damage, or tracheoesophageal fistula. Minimal bleeding that required no intervention observed only one patient. Conclusion
 Using Mini-trach® via fiberoptic broncoscopy less experienced may be safer prevent complications.