tailieunhanh - Báo cáo y học: "Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study. | Available online http content 8 5 R299 Research Comparison of two percutaneous tracheostomy techniques guide wire dilating forceps and Ciaglia Blue Rhino a sequential cohort study Bernard G Fikkers1 Marieke Staatsen1 Sabine GGF Lardenoije1 Frank JA van den Hoogen2 and Johannes G van der Hoeven1 Open Access Department of Intensive Care University Medical Centre Nijmegen The Netherlands department of Otorhinolaryngology Head and Neck Surgery University Medical Centre Nijmegen The Netherlands Corresponding author Bernard G Fikkers Received 21 January 2004 Revisions requested 8 March 2004 Revisions received 7 May 2004 Accepted 11 June 2004 Published 5 July 2004 Critical Care 2004 8 R299-R305 DOI cc2907 This article is online at http content 8 5 R299 2004 Fikkers et al. licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract Introduction To evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques namely guide wire dilating forceps GWDF and Ciaglia Blue Rhino CBR . Methods A sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit of the University Medical Centre in Nijmegen The Netherlands. In the period 1997-2000 171 patients underwent a tracheostomy with the GWDF technique and in the period 2000-2003 a further 171 patients with the CBR technique. All complications were prospectively registered on a standard form. Results There was no significant difference in major complications either peri-operative or postoperative. We found a significant difference in minor peri-operative complications P and minor late complications P . Conclusion Despite a .