A Prospective Randomized Study of Percutaneous Tracheostomy versus Surgical Tracheostomy
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 11
Abstract
Aim: Aim of study was to compare Percutaneous Tracheostomy ( PT) and Surgical Tracheostomy (ST) both for complications, duration of procedure ,cost and easy of doing it. Objective of our study was to find out time taken to heal tracheal stoma. Method: 100 of Tracheostomy patients were randomly divided in to two groups (n =50 for both groups) with confidence level of 95%. Two consultants allocated 25 patients of each group for to do procedure. Procedurerelated variables (length of skin incision, duration, difficulty), early complications like ‘bleeding & trauma, pneumothorax, pneumomediastinum, subcutaneous emphysema, loss of airway’, vitals, economic aspects were evaluated by the operating consultant. Procedure related (up to14 days) complications like local infection, haematoma & bleeding, tracheainnominate fistula, tracheoesophageal fistula, were evaluated daily by consultant blinded to the technique used. Air leak closure/healing and longterm complications like cosmetic deformity, tracheal stenosis, tracheomalacia, delayed stomal healing were evaluated 3 months after decannulation by another consultant blinded to the surgical technique. Results: PT had more incidence of minor perioperative complications and ST had more longterm complications, statistical significance between two groups was absent. Time taken to perform PT and tissue trauma with PT were lesser than ST Group. Vitals were better maintained with PT Group. Air leak closure after decannulation was earlier in PT group and aesthetically, scar was smaller with PT group. Conclusion: PT was preferrable because of lesser duration of procedure, smaller incision with comparable complication rate and faster stomal healing.
Authors and Affiliations
Himanshu A. Shah
Keywords
Related Articles
- EP ID EP549342
- DOI 10.21088/ijaa.2349.8471.51118.9
- Views 93
- Downloads 0
A Prospective Comparative Study of 0.5% Levobupivacaine versus 0.5% Ropivacaine in Supraclavicular Brachial Plexus Block
Background: Levobupivacaine is a s enantiomer of bupivacaine has been introduced in clinical practise in India, with lower cardio toxicity and neurotoxicity in comparison to bupivacaine [7,8]. We have designed present st...
Fascia Iliaca Compartment Block with Ropivacaine Versus Intravenous Fentanyl in Patients with Fracture Femur
Introduction: Fracture femur, a painful condition is common in the elderly patients with associated co-morbidities. Systemic NSAIDS increase the chances of epigastric pain, coagulation abnormalities where as opioids inc...
A comparative study of Inj. Bupivacaine 0.5% and Inj. Ropivacaine 0.5% for Supraclavicular Brachial Plexus Block
Context: Bupivacaine is a commonly used local anesthetic in peripheral nerve blocks. Ropivacaine is a newer local anesthetic and has better safety profile. The study was done to compare the two drugs. Aims: To compare th...
Evaluation of Addition of 50 µg of Dexmedetomidine to 10ML of 2% Lignocaine with Adrenaline and 10ML 0.5% Bupivacaine on Block Characteristics in Ultrasound Guided Supraclavicular Brachial Plexus Block
Ultrasound has gained popularity in the last few years for peripheral nerve blocks which provides real time visualization of the nerves to be blocked and also reduces the volume of drug to be injected. Aims and Objective...
Comparison of Clinical Performance of Supraglottic Airway Devices I– gel vs LMA-Proseal in Paediatric Elective Surgeries
Introduction: Newer supraglottic airway devices, LMA-Proseal & I-Gel [2,3] have gastric channel which reduces the risk of aspiration when the baby is placed in lateral for caudal epidural placement [5]. We designed a pro...