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Comparative Study of Percutaneous Dilatational Tracheostomy and Conventional Surgical Tracheostomy in Critically Ill Adult Patients

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Abstract

The present study was aimed to compare percutaneous dilatational tracheostomy (PDT) with that of conventional surgical tracheostomy (ST) in critically ill adult patients requiring tracheostomy for respiratory management. For this purpose 32 critically ill patients, admitted to the ICU between July 2016 and June 2018, were subjected to tracheostomy and randomly divided into two groups (PDT and ST) of 16 patients each. Mean duration of intubation was similar between the two procedures while the mean size of the tracheostomy tube was smaller in percutaneous technique. In comparison, post-operative infection after 7 days seem to be statistically lowered and the length of scar tend to be smaller in PDT patients. Although early and late post-operative complication rates are not statistically significant in the PDT groups, yet investigations of the long-term outcome following PDT are, therefore, necessary. Generally, PDT has lower acute complications than ST, although this may vary by the specific PDT technique. Patient factor may also influence complications. In view of the benefit versus risks in tracheostomy, PDT may be considered the “procedure of choice” for performing elective tracheostomies in critically ill adult patients.

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Acknowledgements

The authors are highly thankful to Prof. (Dr.) Ashok K. Pandit, Former Director, Centre of Research for Development and Former Head, P.G. Department of Environmental Sciences, University of Kashmir, Srinagar (Jammu and Kashmir) for going through the early draft of the paper and making some useful corrections.

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This research did not receive any grants from funding agencies in the public, commercial or not-for-profit sector.

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Authors and Affiliations

  1. Department of ENT, Nootan Medical College and Research Centre, Visnagar, Mehsana, Gujarat, 384315, India

    Ankush Pandit

  2. Department of ENT, GS Medical College, Pilkhuwa, Hapur, Uttar Pradesh, 245304, India

    Gautam Swami & K. Dilip Kumar

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  1. Ankush Pandit
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  2. Gautam Swami
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  3. K. Dilip Kumar
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Correspondence to Ankush Pandit.

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Ethical approval was taken from the Institutional Ethical Committee for the purpose of the study. All procedures performed in this study were in accordance with the ethical standards of the institution.

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Pandit, A., Swami, G. & Kumar, K.D. Comparative Study of Percutaneous Dilatational Tracheostomy and Conventional Surgical Tracheostomy in Critically Ill Adult Patients. Indian J Otolaryngol Head Neck Surg 75, 1568–1572 (2023). https://doi.org/10.1007/s12070-023-03666-9

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  • DOI: https://doi.org/10.1007/s12070-023-03666-9

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