Percutaneous Dilatational Tracheostomy

Ciaglia, P.; Graniero, Kenneth D.

doi:10.1378/chest.101.2.464

Cited by 232 publications

(44 citation statements)

References 13 publications

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“…Our complication rate is relatively high compared to other studies [5,9,18]. In this study the complications of the procedures were registered prospectively and minor complicatons, such as minor bleeding, are often not mentioned in other studies.…”

Section: Discussionmentioning

confidence: 87%

Comparative clinical trial of progressive dilatational and forceps dilatational tracheostomy

et al. 2000

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Section: Discussionmentioning

confidence: 87%

Comparative clinical trial of progressive dilatational and forceps dilatational tracheostomy

et al. 2000

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“…The technique of percutaneous puncture of the trachea by a needle and subsequent progressive dilatation with blunttipped dilators over a flexible guiding catheter (PDT) was introduced by Ciaglia in 1985 [6] and improved by Ciaglia and Graniero in 1992 [18]. PDT, using the Ciaglia (Cook Critical Care, Bjaeverskov, Denmark) or the Griggs (Portex SIMS, Hythe, Kent, UK) Percutaneous Tracheostomy Introducer Set, overcame the technical problems of the earlier percutaneous technique and led to the general acceptance of percutaneous tracheostomy as a bedside procedure in the critically ill patients [4,5].…”

Section: Discussionmentioning

confidence: 99%

“…After informed consent was obtained from the patient and/or her/his relatives, a team composed of one anaesthesiologist and one cardiac surgeon performed PDT according to the Ciaglia and Graniero's method [18], at the patient's bedside in ICU. The Ciaglia Percutaneous Tracheostomy Introducer Set (Cook Critical Care, Bjaeverskov, Denmark) was used.…”

Section: Technique Of Percutaneous Dilatational Tracheostomymentioning

confidence: 99%

Weaning from ventilator after cardiac operation using the Ciaglia percutaneous tracheostomy

Gatti

Cardu

Bentini

et al. 2004

European Journal of Cardio-Thoracic Surgery

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“…13,14 This technique has achieved considerable success and widespread clinical use. 15 Percutaneous dilational tracheostomy (PDT) has been criticized, however, because advocates of the technique have not provided sufficient information regarding procedural complications. Also, long-term follow-up as to the incidence of tracheal stenosis has not been reported, although there is evidence that PDT can be performed safely.…”

Section: Discussionmentioning

confidence: 99%

“…14,15 There are three essential elements: percutaneous puncture of the trachea and guidewire insertion, placement of a guide sheath to prevent wire bending and pretracheal dilation, and progressive controlled dilation of the trachea to accommodate an appropriate-sized tracheostomy tube. Local anesthesia was supplemented with sedation, analgesia, and paralytic agents when necessary.…”

Section: Methodsmentioning

confidence: 99%

A Single-Center 8-Year Experience With Percutaneous Dilational Tracheostomy

et al. 2000

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ObjectiveTo determine surgical, postoperative, and postdischarge complications associated with percutaneous dilational tracheostomy (PDT) in an 8-year experience at the University of Kentucky. Summary Background DataThere are known risks associated with the transport of critically ill patients to the operating room for elective tracheostomy, and less-than-optimal conditions may interfere with open bedside tracheostomy. PDT has been introduced as an alternative to open tracheostomy. Despite information supporting its safety and utility, the technique has been criticized because advocates had not provided sufficient information regarding complications. MethodsA prospective database was initiated on all patients who underwent PDT between September 1990 and May 1998. The database provided indication, procedure time, duration of intubation before PDT, and intraoperative and postoperative complications. Retrospective review of medical records and phone interviews provided long-term follow-up information. ResultsIn the 8-year period, 827 PDTs were performed in 824 patients. Two patients were excluded because PDT could not be completed for technical reasons. There were 519 male and 305 female patients. Mean age was 56 years. Prolonged mechanical ventilatory support was the most common indication. Mean procedure time was 15 minutes, and the average duration of intubation before PDT was 10 days. The intraoperative complication rate was 6%, with premature extubation the most common complication. The procedure-related death rate was 0.6%. Postoperative complications were found in 5%, with bleeding the most common. With a mean follow-up of greater than 1 year, the tracheal stenosis rate was 1.6%. ConclusionsOn the basis of this large, single-center study, the authors conclude that when performed by experienced surgeons, PDT is a safe and effective alternative to open surgical tracheostomy for intubated patients who require elective tracheostomy.

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Percutaneous Dilatational Tracheostomy

Cited by 232 publications

References 13 publications

Comparative clinical trial of progressive dilatational and forceps dilatational tracheostomy

Comparative clinical trial of progressive dilatational and forceps dilatational tracheostomy

Weaning from ventilator after cardiac operation using the Ciaglia percutaneous tracheostomy

A Single-Center 8-Year Experience With Percutaneous Dilational Tracheostomy

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