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Korean Journal of Anesthesiology 1994;27(12):1795-1800.
DOI: https://doi.org/10.4097/kjae.1994.27.12.1795   
Percutaneous Tracheostomy: a comparison with standard surgical tracheostomy.
Jong Seon Moon, Yong No Cho, Keun Man Shin, Soon Yong Hong, Young Ryong Choi, Myung Soo Ahn
1Department of Anesthesiology, Hallym University Medical College, Kangwon, Korea.
2Department of Neurosurgery, Hallym University Medical College, Kangwon, Korea.
A prospective study was undertaken to compare, in intensive care patients, the safety and utility of a percutaneous tracheostomy teehnique with a surgieal tracheostomy technique. Between March of 1992 and June of 1993 we randomly selected 40 patients of the many who were in need of a tracheostomy. After dividing those patients into 2 groups, we per- formed the procedures. Twenty patients received a standard surgicsl traeheostomy, the other twenty received a percutaneous tracheostomy. We found complications occurring in 6 patients who received the standard surgical tracheostomy while only 1 patient suffered complications from the group having the percutaneous tracheostomy. The most common complications being subcutaneous emphysema, pneumothorax, pnemonia, and hemorrhage. Post-decannulation scar was 3.286+/-1.204mm in percutaneous group, 20.36+/-7.26mm in standard group. In comparison to standard surgical tracheoatomy, percutaneous tracheostomies were rapidly and easily performed and asaociated with significantly fewer complication and small post-decannulation scars.
Key Words: Percutaneous tracheostomy; Tracheostomy; Complicatian; Post-decannuletion scar
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