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 108
- Downloads 0
Study on Oral Nebivolol in Attenuating the Cardio Vascular Responses to Laryngoscopy and Endotracheal Intubation
Introduction: Laryngoscopy and intubation are almost always associated with hemodynamic changes due to sympathetic discharge caused by epipharyngeal and laryngopharyngeal stimulation. Aim: To study the efficacy of oral N...
Segmental Thoracic Spinal Anaesthesia for Modified Radical Mastectomy in a Bronchiectasis Patient
General anaesthesia is the gold standard technique for breast cancer surgery but risks of general anaesthesia outweigh the benefits particularly in patients with known cardio pulmonary disorders. Here we discussed a pati...
A Prospective Randomised Control Study to Compare Hyperglycemic Stress Response to General Anaesthesia in Non Diabetics and Controlled Diabetics Posted for Elective Surgical Procedures
Diabetic patients presenting for elective surgical procedures will place an increasing burden on anaesthetic services. The effects of surgical stress and anesthesia result in a a hypermetabolic stress response, referred...
I Gel Versus Endotracheal Tube for Pediatric day Care Surgeries
Background: The I-gel TM (Intersurgical, Wokingham, UK) is a novel second generation supraglottic airway device with a non inflatable cuff, made up of a unique soft gel like material (Styrene Ethylene Butadiene Styrene)....
Addition of Morphine to Bupivacaine in Ultrasound Guided Transversus Abdominis Plane Block Prolongs Postoperative Analgesia after Gynaecological Cancer Surgery
Background: There is significant postoperative pain in major gynecological cancer surgery patients. Ultrasound (USG) guided Transversus Abdominis Plane (TAP) block is a novel approach to provide analgesia to anterior abd...