Percutaneous Dilatational Tracheostomy via Griggs Technique

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Karimpour Hasan Ali; Vafaei Kamran; Chalechale Maryam; MOHAMMADI SAEED; KAVIANNEZHAD RASOOL

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2017 | Volume:20 | Issue:1 Page(s): 49-54

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Title

Percutaneous Dilatational Tracheostomy via Griggs Technique

Author(s)

Keywords

Complications

critical care

percutaneous

tracheostomy

Abstract

BACKGROUND: tracheostomy is considered the airway management of choice for patients who need prolonged mechanical ventilation support. percutaneous Dilatational Tracheotomy (PDT) is a technique that can be performed easily and rapidly at bedside and is particularly useful in the intensive care setting. The Griggs percutaneous tracheotomy is unique in its utilization of a guide wire dilator forceps. OBJECTIVE: We aimed to describe the early perioperative and late postoperative Complications of PDT using the Griggs technique in patients in the intensive care unit (ICU). Patients and Methods: This cross-sectional study was conducted on all patients who underwent tracheostomy in the ICU of the Imam Reza Hospital of Kermanshah, Iran, from June 2011 to June 2015. PDT was performed in 184 patients with the Griggs technique. Demographic variables, as well as perioperative and late postoperative Complications were recorded. RESULTS: The mean age of patients was 57. 3 ± 15. 37 years. The most common primary causes of tracheostomy were hypoxic brain damage disorders (43. 2%) and pneumonia (14. 8%). Perioperative and early Complications occurred in 16. 7 % of procedures, of which 9. 3% were bleedings (minor, significant and major). Furthermore, the incidence of late Complications was 8. 6%, including: stomal infection, difficult replace tracheostomy tube, tracheoesophageal fistula, tracheal stenosis, and tracheomalacia. CONCLUSION: PDT via Griggs technique is a safe, quick, and effective method. The low incidence of Complications indicates that bedside percutaneous tracheostomy can be performed safely as a routine procedure for daily care implemented in the ICU.

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APA: Copy

Karimpour, Hasan Ali, Vafaei, Kamran, Chalechale, Maryam, MOHAMMADI, SAEED, & KAVIANNEZHAD, RASOOL. (2017). Percutaneous Dilatational Tracheostomy via Griggs Technique. ARCHIVES OF IRANIAN MEDICINE, 20(1), 49-54. SID. https://sid.ir/paper/281693/en

Vancouver: Copy

Karimpour Hasan Ali, Vafaei Kamran, Chalechale Maryam, MOHAMMADI SAEED, KAVIANNEZHAD RASOOL. Percutaneous Dilatational Tracheostomy via Griggs Technique. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2017;20(1):49-54. Available from: https://sid.ir/paper/281693/en

IEEE: Copy

Hasan Ali Karimpour, Kamran Vafaei, Maryam Chalechale, SAEED MOHAMMADI, and RASOOL KAVIANNEZHAD, “Percutaneous Dilatational Tracheostomy via Griggs Technique,” ARCHIVES OF IRANIAN MEDICINE, vol. 20, no. 1, pp. 49–54, 2017, [Online]. Available: https://sid.ir/paper/281693/en

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