Clinical application of percutaneous dilational tracheostomy in intensive care unit

Abstract

Objective To explore the safety and efficacy of percutaneous dilational tracheostomy ( PDT ) in intensive care unit.Methods 120 critically ill patients in ICU were randomly assigned to receive PDT ( 57 patients ) and traditional tracheostomy ( OT ) ( 63 patients ).The surgical duration,bleeding volume,and related complications were compared between the two groups.Results The surgical duration was obviously shorter and bleeding volum was markedly smaller in PDT group than in OT group[( 11.21 ± 4.97) minvs.(26.31 ± 8.42min) and ( 16.5 ± 5.72) mlvs.(41.83 ± 10.05) ml,P＜ 0.001 for both comparisons],revealing a significant difference.Fewer complications were found in PDT group.Conclusions Percutaneous dilational tracheostomy has shorter surgical duration, less blood loss,and fewer complications.It is worth popularizing and can be a necessary skill of airway management in ICU. Key words: Percutaneous dilational tracheostomy; Tracheostomy; ICU; Clinical applicaton