Airway management

Comparative Analysis of Percutaneous Dilatational Tracheotomy and Surgical Tracheotomy in Critically Ill Patients: Outcomes and Complications

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

PDT and ST yield comparable outcomes in critically ill ICU patients, with no significant difference in overall complication rates or mortality.

Study context

Population
Critically ill patients receiving invasive mechanical ventilation (MV) in a medical intensive care unit (ICU)
Participants
119 patients
Exposure
Percutaneous dilatational tracheostomy (PDT) vs surgical tracheostomy (ST)
  • PDTn = 55
  • STn = 64reference
Methodological detailssingle tertiary centre
  • Single tertiary centre

Main finding

As reported in the abstract

  • Comparable outcomes in MV duration, ICU stay and all-cause mortality

Observational data: associations, not effects.

Further findings

MV duration

P = 0.72

ICU stay

P = 0.17

All-cause mortality

P = 0.42

ICU mortality and overall complications (multivariate analysis)

No statistically significant association with tracheostomy technique after adjustment for confounders

Safety

Subcutaneous emphysema

P = 0.01

Original publication

Comparative Analysis of Percutaneous Dilatational Tracheotomy and Surgical Tracheotomy in Critically Ill Patients: Outcomes and Complications. J Cardiothorac Vasc Anesth. Published 6 February 2025. doi:10.1053/j.jvca.2025.02.008

Composed by AI from the published abstract and checked against it. How Briefs are made →

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