Abstract
The development of percutaneous dilational tracheostomy (PDT) has provided a feasible alternative to conventional surgical tracheostomy (ST). In this review we examine the current body of literature comparing PDT versus ST in terms of short-term, mid-term, and long-term outcomes. PDT is associated with slightly fewer early complications than ST and comparable intermediate outcomes. There is a minor trend toward more frequent tracheal stenosis following PDT. With regard to resource utilization, PDT tends to provide moderate cost savings compared to ST. We recommend use of PDT as a preferred modality if the institution has adequate resources and appropriately trained personnel.
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Antonoff, M.B., Puri, V. (2014). Percutaneous Versus Standard Tracheostomy in the Critically Ill Adult. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach, vol 1. Springer, London. https://doi.org/10.1007/978-1-4471-6404-3_44
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DOI: https://doi.org/10.1007/978-1-4471-6404-3_44
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