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A COMPARATIVE STUDY OF COMPLICATION RATES BETWEEN PERCUTANEOUS DILATATIONAL TRACHEOSTOMY AND SURGICAL TRACHEOSTOMY IN MECHANICALLY VENTILATED PATIENTS IN AN INTENSIVE CARE UNIT
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Abstract
Background: Surgical tracheostomy (ST) has long been established as a standard procedure in clinical practice. Over the past three decades, percutaneous dilational tracheostomy (PDT) has gained popularity, with various techniques employed. Notably, the single-step dilatational tracheostomy (SSDT) method is extensively performed in intensive care units (ICU). This study aims to compare the outcomes of PDT and ST in mechanically ventilated patients within ICU. Methods: A retrospective analysis was conducted involving 122 mechanically ventilated patients, with 55 undergoing PDT and 67 undergoing ST, at the ICU of Cho Ray Hospital between June 2020 and December 2021. The selection between PDT and ST is determined by intensivists. Results: Among the subjects, 64.8% were male. The most common underlying diseases were diabetes and hypertension. Patients in the ST group had a higher body mass index (BMI) in comparison to the PDT group. The overall complication rates after PDT and ST were 40.0% and 46.3% respectively (p=0.49), demonstrating no statistically significant variance between the two groups. However, the ST group exhibited a notably higher incidence of localized infection complications compared to the PDT group (43.3% vs 20%, p=0.011). Conclusion: In this study, the overall complication rates did not significantly differ between PDT and ST. However, the ST group displayed a higher incidence of local infections.
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Keywords
percutaneous dilatational tracheostomy, surgical tracheostomy.
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