Percutaneous dilatational tracheostomy – a comparison of three methods: Ciaglia Blue Rhino, PercuTwist and Griggs' Guidewire Dilation Forceps (GWDF)
نویسندگان
چکیده
Thirty-one patients (age 64 ± 13 [mean ± SD]) were enrolled, PDT were performed in three groups, 10 Ciaglia Blue Rhino (Cook), 10 PercuTwist (Rüsch) – a device employing a screw with a hydrophilic coating and 11 GWDF – using Griggs' specially designed dilational forceps (Portex). Duration of intervention, oxygenation parameters, blood loss and further complications peri-interventionally and postinterventionally were recorded and compared.
منابع مشابه
A simple modification of Ciaglia Blue Rhino technique for tracheostomy: using a guidewire dilating forceps for initial dilation.
OBJECTIVE The potential difficulty in doing initial dilation in the percutaneous dilational tracheostomy (PDT) with the Ciaglia Blue Rhino (CBR) technique has been reported by others and encountered in our clinical practice. To resolve this problem, we developed a modified CBR technique by using a guidewire dilating forceps (GWDF) to facilitate initial dilation. The present before-and-after com...
متن کاملPercutaneous tracheostomy: comparison of Ciaglia and Griggs techniques
BACKGROUND Although the standard tracheostomy described in 1909 by Jackson has been extensively used in critical patients, a more simple procedure that can be performed at the bedside is needed. Since 1957 several different types of percutaneous tracheostomy technique have been described. The purpose of the present study was to compare two bedside percutaneous tracheostomy techniques: percutane...
متن کاملComparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study
INTRODUCTION To evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques, namely guide wire dilating forceps (GWDF) and Ciaglia Blue Rhino (CBR). METHODS A sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit...
متن کاملPercutaneous tracheostomy in ICU.
Dear Editor, We read with interest the recent article of Yavas on the tracheostomy in the intensive care unit.1 The authors treated 205 patients needing tracheostomy, 65.4% with surgical tracheostomy (ST) and 34.6% with percutaneous tracheostomy (PT). The authors, while performing PT, used two procedures: the Ciaglia percutaneous dilatational tracheostomy technique using multiple dilators and t...
متن کاملComparison between single-step and balloon dilatational tracheostomy in intensive care unit: a single-centre, randomized controlled study.
BACKGROUND Balloon dilatational tracheostomy using the Ciaglia Blue Dolphin device has recently been introduced as a modification of the Ciaglia technique. The aim of this study was to compare the new Dolphin system with the single-step dilatational tracheostomy (Ciaglia Blue Rhino) in intensive care unit (ICU) patients. METHODS Consecutive patients admitted to the ICU of the Emergency Depart...
متن کامل