Complications and safety of percutaneous dilatational tracheostomy with Griggs method versus surgical tracheostomy a prospective trial with six months follow-up

ABSTRACT

Percutaneous Dilatational Tracheostomy has been developed all across the world during past two decades and is being performed with different methods in Intensive Care Units. The purpose of this study was to compare the complications of surgical tracheostomy versus pecutaneous dilatational traheostomy with Griggs method. In this prospective clinical trial, 100 cases of Percutaneous Dilatational Tracheostomy [PDT], was compared to surgical method. All PDTs were performed with Griggs method. The patients had been followed up for five months on a regular basis and potential complications were recorded. In surgical group we had three complications leading to death Bleeding, Sever Emphysema and Pneumothorax. In five months of follow-up, we had no ventilatory complication in PDT group. Bleeding and infection rate in Tracheostomy place itself, Pneumothorax, Emphysema, duration of procedure, and required time for total closure of tracheostomy place in PDT were significantly less than surgical group. Percutaneous Dilatational Tracheostomy [PDT] with Griggs method has less complication in comparison to Surgical Tracheostomy. As such it should be recommended as a method of choice for tracheostomy in critically ill patients