[Surgical tracheostomy versus percutaneous tracheostomy in the intensive care unit]

ABSTRACT

Prolonged intubation and need to mechanical ventilation is an indication for tracheostomy. This procedure can be done, surgical or percutaneous. In this study, we compare surgical and percutaneous dilated tracheostomy. In this retrospective study, which was conducted in ICU wards of Rasool Akram Hospital from Mehr 1387 to Mehr 1390. We compared complication of tracheostomized patients in two groups. In this study, early postoperative bleeding, in 11 cases, 1 case [4.2%] in PDT group and 10 cases [17.5%] in surgical group was shown [with a significant difference]. Surgical site infection in 1 case, 2 cases [7.4%] in PDT group and 1 case [4.2%] in surgical group was shown [with a non-significant difference]. Subcutaneous emphysema in 11 cases, 2 case [8.3%] in PDT group and 1 case [1.7%] in surgical group with a significant difference, was shown. Other complications such as tracheal posterior wall were not shown in both groups. Because of lower complications rate and bedside PDT doing, percutaneous tracheostomy is a safe and suitable alternative for surgical tracheostomy