Percutaneous tracheostomy by Griggs technique: a retrospective analysis

Abstract

Percutaneous tracheostomy (PCT) is emerging as a popular method to secure a definitive airway in ventilated patients in critical care units as an alternative to surgical tracheostomy. It offers several advantages such as ease of performance, small skin incision, less tissue trauma, lower infection rate, bedside conduct as well as optimum utilization of ICU personnel. 1,2 The scope of PCT is increasing with training and experience, with successful management of more and more scenarios which were earlier perceived as contra indications. The present study was taken up with the objectives to evaluate safety of PCT in patients with difficult anatomy, bleeding diathesis and high ventilatory requirement, which are described as relative contra indications. We also intended to assess the complication rate and determine average time required.

A Prospective Randomized Study Comparing Mini-surgical Percutaneous Dilatational Tracheostomy With Surgical and Classical Percutaneous Tracheostomy

“…In fact, there is a lack of efficient ventilation support in transporting to operation room that withdraws PEEP and has high portability of ventilator-induced lung injury development. 21 Lagoo et al 22 believed that the benefit of doing PDT in some contraindicated patients is sufficient, mainly by means of increasing training and experience in recent years, and rapid operation which minimizes the exposure time to any risk. In terms of patients requiring high PEEP, a RCT by Beiderlinden et al 23 revealed that the level of PEEP, procedure duration, and PDT technique are not accompanied by a significant deterioration in gas exchange.…”

Bedside Percutaneous Dilatational Tracheostomy by Griggs Technique: A Single-Center Experience

“…Tracheostomy, either surgical or percutaneous, is a commonly performed procedure in intensive care units (ICU). This surgical intervention aims to provide a safe airway to those critically ill patients dependent on prolonged mechanical ventilatory support or those requiring an alternative airway for various reasons [ 1 ].…”

“…PDT offers many benefits, including ease of application, smaller incision, less tissue trauma, lower rate of infection, use at bedside, and optimal utilization of ICU personnel [ 3 ]. Therapeutic use and indications of PDT may easily expand in most previously contraindicated conditions if training, experience, and successful management is provided [ 1 ]. PDT facilitates clearance of pulmonary secretions, reduces risk of subglottic stenosis secondary to endotracheal tube, decreases the need for sedative use in the ICU, and promotes early weaning from a mechanical ventilator.…”