Short- and Long-term Complications of Surgical and Percutaneous Dilatation Tracheotomies: a Large Single-centre Retrospective Cohort Study

Overview

Journal Eur Arch Otorhinolaryngol

Specialty Otorhinolaryngology

Date 2019 Apr 4

PMID 30941491

Citations 11

Authors

B J de Kleijn

J Wedman

J G Zijlstra

F G Dikkers

B F A M van der Laan

Affiliations

Soon will be listed here.

Abstract

Objectives: The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST).

Design: A single-centre retrospective study.

Participants: 305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files.

Main Outcome Measures: Short-term and long-term complications including tracheal stenosis.

Results: The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications.

Conclusions: The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients.

Citing Articles

Sudden Death in a Rare Case Due to Tracheo-Innominate Artery Fistula.

Sacco M, Gualtieri S, Longhini F, Garofalo E, Bruni A, Verrina M J Clin Med. 2024; 13(23).

PMID: 39685571 PMC: 11642690. DOI: 10.3390/jcm13237112.

Predicting Tracheostomy Need on Admission to the Intensive Care Unit-A Multicenter Machine Learning Analysis.

Nguyen M, Amanian A, Wei M, Prisman E, Mendez-Tellez P Otolaryngol Head Neck Surg. 2024; 171(6):1736-1750.

PMID: 39077854 PMC: 11605030. DOI: 10.1002/ohn.919.

Papaioannou M, Vagiana E, Kotoulas S, Sileli M, Manika K, Tsantos A World J Methodol. 2024; 14(2):91868.

PMID: 38983661 PMC: 11229867. DOI: 10.5662/wjm.v14.i2.91868.

Tracheal Stenosis in Open Versus Percutaneous Tracheostomy.

Keirns D, Rajan A, Wee S, Govardhan I, Eitan D, Dilsaver D Cureus. 2024; 16(3):e57075.

PMID: 38681475 PMC: 11052640. DOI: 10.7759/cureus.57075.

Percutaneous tracheostomy: Comparison of three different methods with respect to tracheal cartilage injury in cadavers-Randomized controlled study.

Bodis F, Orosz G, Toth J, Szabo M, Elo L, Gal J Pathol Oncol Res. 2023; 29:1610934.

PMID: 37123534 PMC: 10135429. DOI: 10.3389/pore.2023.1610934.

References

Freeman B, Isabella K, Lin N, Buchman T . A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients. Chest. 2000; 118(5):1412-8. DOI: 10.1378/chest.118.5.1412. View

Dempsey G, Grant C, Jones T . Percutaneous tracheostomy: a 6 yr prospective evaluation of the single tapered dilator technique. Br J Anaesth. 2010; 105(6):782-8. DOI: 10.1093/bja/aeq238. View

Christenson T, Artz G, Goldhammer J, Spiegel J, Boon M . Tracheal stenosis after placement of percutaneous dilational tracheotomy. Laryngoscope. 2008; 118(2):222-7. DOI: 10.1097/MLG.0b013e31815a9e87. View

Frost E . Tracing the tracheostomy. Ann Otol Rhinol Laryngol. 1976; 85(5 Pt.1):618-24. DOI: 10.1177/000348947608500509. View

Cheng E, Fee Jr W . Dilatational versus standard tracheostomy: a meta-analysis. Ann Otol Rhinol Laryngol. 2000; 109(9):803-7. DOI: 10.1177/000348940010900903. View

Massick D, Yao S, Powell D, Griesen D, Hobgood T, Allen J . Bedside tracheostomy in the intensive care unit: a prospective randomized trial comparing open surgical tracheostomy with endoscopically guided percutaneous dilational tracheotomy. Laryngoscope. 2001; 111(3):494-500. DOI: 10.1097/00005537-200103000-00021. View

Young E, Pugh R, Hanlon R, OCallaghan E, Wright C, Jeanrenaud P . Tracheal stenosis following percutaneous dilatational tracheostomy using the single tapered dilator: an MRI study. Anaesth Intensive Care. 2014; 42(6):745-51. DOI: 10.1177/0310057X1404200610. View

Lesnik I, Rappaport W, Fulginiti J, Witzke D . The role of early tracheostomy in blunt, multiple organ trauma. Am Surg. 1992; 58(6):346-9. View

Dempsey G, Morton B, Hammell C, Williams L, Tudur Smith C, Jones T . Long-Term Outcome Following Tracheostomy in Critical Care: A Systematic Review. Crit Care Med. 2015; 44(3):617-28. DOI: 10.1097/CCM.0000000000001382. View

10.

Voelker M, Wiechmann M, Dietz A, Laudi S, Bercker S . Two-Year Follow-Up After Percutaneous Dilatational Tracheostomy in a Surgical ICU. Respir Care. 2017; 62(7):963-969. DOI: 10.4187/respcare.05290. View

11.

Hotchkiss K, McCaffrey J . Laryngotracheal injury after percutaneous dilational tracheostomy in cadaver specimens. Laryngoscope. 2003; 113(1):16-20. DOI: 10.1097/00005537-200301000-00003. View

12.

Pauliny M, Christova E, Mackova J, Liska M . Percutaneous dilation tracheostomy versus surgical tracheostomy in critically ill patients. Bratisl Lek Listy. 2012; 113(7):409-11. DOI: 10.4149/bll_2012_092. View

13.

Pilarczyk K, Carstens H, Heckmann J, Lubarski J, Marggraf G, Jakob H . Safety and Efficiency of Percutaneous Dilatational Tracheostomy With Direct Bronchoscopic Guidance for Thoracic Transplant Recipients. Respir Care. 2016; 61(2):235-42. DOI: 10.4187/respcare.04128. View

14.

Oggiano M, Ewig S, Hecker E . A comparison of percutaneous dilatational tracheostomy versus conventional surgical tracheostomy. Pneumologie. 2014; 68(5):322-8. DOI: 10.1055/s-0034-1365198. View

15.

Pierson D . Tracheostomy from A to Z: historical context and current challenges. Respir Care. 2005; 50(4):473-5. View

16.

Kilic D, Findikcioglu A, Akin S, Korun O, Aribogan A, Hatiboglu A . When is surgical tracheostomy indicated? Surgical "U-shaped" versus percutaneous tracheostomy. Ann Thorac Cardiovasc Surg. 2011; 17(1):29-32. DOI: 10.5761/atcs.oa.09.01477. View

17.

Oliver E, Gist A, Gillespie M . Percutaneous versus surgical tracheotomy: an updated meta-analysis. Laryngoscope. 2007; 117(9):1570-5. DOI: 10.1097/MLG.0b013e318093edae. View

18.

Johnson-Obaseki S, Veljkovic A, Javidnia H . Complication rates of open surgical versus percutaneous tracheostomy in critically ill patients. Laryngoscope. 2016; 126(11):2459-2467. DOI: 10.1002/lary.26019. View

19.

Putensen C, Theuerkauf N, Guenther U, Vargas M, Pelosi P . Percutaneous and surgical tracheostomy in critically ill adult patients: a meta-analysis. Crit Care. 2014; 18(6):544. PMC: 4293819. DOI: 10.1186/s13054-014-0544-7. View

20.

Lebiedz P, Suca A, Gumus E, Radke R, Kaya E, Hilker E . 7-year survey after percutaneous dilatational tracheotomy on a medical intensive care unit. J Investig Med. 2010; 58(8):977-81. DOI: 10.231/JIM.0b013e3181f65ca3. View