Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 16 , ISSUE 2 ( April, 2012 ) > List of Articles

RESEARCH ARTICLE

Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator - A prospective randomized study

Mritunjay Kumar, Chandralekha

Keywords : Intensive care, percutaneous, tracheostomy

Citation Information : Kumar M, C. Percutaneous dilatational tracheostomy: Griggs guide wire dilating forceps technique versus ULTRA-perc single-stage dilator - A prospective randomized study. Indian J Crit Care Med 2012; 16 (2):87-92.

DOI: 10.4103/0972-5229.99117

License: CC BY-ND 3.0

Published Online: 01-04-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Percutaneous dilatational tracheostomy (PDT) is a frequently performed surgical procedure on critically ill patients. This study was designed to compare its two methods: Griggs guide wire dilating forceps (GWDF) technique and the ULTRA-perc single-stage dilator technique. Materials and Methods: Thirty Intensive Care Unit (ICU) patients on prolonged mechanical ventilation and requiring tracheostomy were included in our prospective randomized study. The first group (GP-GWDF) underwent PDT by the GWDF technique and the second group by the ULTRA-perc technique (GP-UP). Time for the procedure and early and late procedural complications were recorded and compared in between the two groups. Results: Time taken for tracheostomy was 11.68 ± 6.48 min for GP-GWDF and 13.93 ± 11.54 min for GP-UP (P-value 0.486). Desaturation was noted in two patients in GP-GWDF versus five in GP-UP (P-value = 0.195). Hypercapnea and rise in peak airway pressure occurred in one patient in GP-GWDF versus two in GP-UP (P-value = 0.543). Loss of airway was recorded in two patients in GP-UP and in none in GP-GWDF (P-value = 0.143). Subcutaneous emphysema, pneumothorax and pneumomediastinum occurred in one patient in GP-UP. No major complications were observed in GP-GWDF (P-value = 0.309). Hoarseness of voice was noted in one patient in each group (P-value = 0.659). Conclusion: Both the techniques seem to be equally reliable for carrying out PDT at bedside in the ICU.


PDF Share
  1. The impact of percutaneous tracheostomy on intensive care unit practice and training. Anaesthesia 1999;54:186-9.
  2. Elective percutaneous dilatational tracheostomy. Chest 1985;87:715-9.
  3. Translaryngeal tracheostomy: A new era? Minerva Anestesiol 1996;62:313-25.
  4. A nonderivative nonsurgical tracheostomy: The translaryngeal method. Intensive Care Med 1997;23:386-92.
  5. Translaryngealtracheostomy: Technique and initial results. Chirurg 1997;68:531-5.
  6. A simple percutaneous tracheostomy technique. Surg Gynecol Obstet 1990;170:543-5.
  7. A simple method for percutaneous tracheostomy controlled rotating dilation. Intensive Care Med 2002;28:299-303.
  8. Percutwist dilational tracheostomy: Prospective evaluation of 54 consecutive patients. Anaesthesist 2004;53:434-40.
  9. percutaneous tracheostomy with the blue rhino technique: Presentation of 100 consecutive patients. Anaesthesia 2002;57:1094-7.
  10. Percutaneous tracheostomy: Ciaglia blue rhino Vs the basic Ciaglia technique of percutaneous dilational tracheostomy. Anesth analg 2000;91:882-6.
  11. Percutaneous tracheostomy with single dilatation technique: A prospective randomised comparison of Ciaglia blue rhino Vs Griggs′guidewire dilating forceps. Anesth Analg 2002;95:1739-45.
  12. Percutaneous tracheostomy: Ciaglia blue rhino Vs Griggs′ guidewiire dilating forceps: A prospective randomized trial. Acta anaesthesiol scand 2004;48:451-6.
  13. A comparison of two single dilator percutaneous tracheostomy sets: The Blue Rhino and the Ultraperc. Anaesthesia 2006;61:182-6.
  14. Catheter replacement of the needle in percutaneous arteriography; A new technique. Acta Radiol 1953;39:368-76.
  15. Percutaneous or surgicaltracheostomy: A meta-analysis. Crit Care Med 1999;27:1617-25.
  16. Percutaneous tracheostomy by forceps dilation: Report of 162 cases. Anaesthesia 2000;55:125-30.
  17. Percutaneous tracheostomy in critically ill patients: A prospective, randomized comparison of two techniques. Crit care med 2000;28:3734-9.
  18. Tracheal cartilage fracture with the Blue Rhino Ciaglia percutaneous tracheostomy system. Eur J Anaesthesiol 2001;18:487.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.