PercuTwist: a new alternative to Griggs and Ciaglia's techniques

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dc.contributor.authorYurtseven, N.
dc.contributor.authorAydemir, B.
dc.contributor.authorKaraca, P.
dc.contributor.authorAksoy, T.
dc.contributor.authorKomurcu, G.
dc.contributor.authorKurt, M.
dc.contributor.authorOzkul, V.
dc.contributor.authorCanik, S.
dc.date.accessioned2024-07-12T21:46:28Z
dc.date.available2024-07-12T21:46:28Z
dc.date.issued2007en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractBackground and objective: Tracheostomy is one of the most common procedures in intensive care units worldwide. In this study we aimed to compare three different tracheostomy techniques with respect to duration of procedure and complications. Methods: One hundred and thirty patients requiring endotracheal intubation for more than 10 days due to acute respiratory distress syndrome, infections or cerebrovascular events were consecutively selected to undergo the percutaneous dilatational tracheostomy technique (PDT n = 44), the guide-wire dilating forceps technique group (GWDF n = 41) or the PercuTwist technique (n 45). The time taken to perform the procedure (skin incision to successful placement of tracheostomy tube) and complications were recorded. Results: The operating times were found to be 9.9 +/- 1.1, 6.2 +/- 1.4 and 5.4 +/- 1.2 min in PDT, GWDF and PercuTwist groups, respectively. The duration of the procedure was significantly shorter in the PercuTwist group as compared to the percutaneous dilatational tracheostomy (P < 0.01) and guide-wire dilating forceps (P < 0.05) groups. During postoperative bronchoscopy, eight cases of longitudinal tracheal abrasion (four in the PDT group, two in the GWDF group and two in the PercuTwist group), two cases of posterior tracheal wall injury (one in PDT and one in GWDF) and one case of tracheal ring rupture in the PDT group were seen. Conclusions: Percutaneous tracheostomy techniques have their own advantages and complications. PercuTwist, a new controlled rotating dilatation method, was associated with minimal complications, appears to be easy to perform and a practical alternative to percutaneous dilatational tracheostomy and guide-wire dilating forceps techniques.en_US
dc.identifier.doi10.1017/S0265021506002274
dc.identifier.endpage497en_US
dc.identifier.issn0265-0215
dc.identifier.issn1365-2346
dc.identifier.issue6en_US
dc.identifier.pmid17207301en_US
dc.identifier.scopus2-s2.0-34249044482en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage492en_US
dc.identifier.urihttps://dx.doi.org/10.1017/S0265021506002274
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7937
dc.identifier.volume24en_US
dc.identifier.wosWOS:000247040100004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofEUROPEAN JOURNAL OF ANAESTHESIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY00839
dc.subjecttracheostomy, percutaneousen_US
dc.subjectsurgical proceduresen_US
dc.subjectcritical careen_US
dc.titlePercuTwist: a new alternative to Griggs and Ciaglia's techniquesen_US
dc.typeArticle
dspace.entity.typePublication

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