کازامایی بالینی مقایسه ای بین سیالزیا و تکنینک Griggs در طول تراکئوستومی

کاروندیان, کسری and یوسفیان, مهزاد and حسین خان, زاهد and بیگ محمدی, تقی and شعبانی, ساناز (1391) کازامایی بالینی مقایسه ای بین سیالزیا و تکنینک Griggs در طول تراکئوستومی. Acta Medica Iranica ــ 50 (8). pp. 525-529. شاپا 0044-6025

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Official URL: http://acta.tums.ac.ir/index.php/acta/article/view...


Comparative Clinical Trial between Ciaglia and Griggs Techniques during Tracheostomy Performed in Patients Admitted to Intensive Care Unit

English Abstract

Percutaneous dilatation tracheostomy (PDT) is one of the most frequent interventions in ventilator dependant ICU patients. Ciaglia and Griggs are two common PDT techniques. Few studies are available comparing these two methods, but there is no data available to compare these two techniques in Iranian population. The aim of this study was to compare Ciaglia and Griggs technique in our population in order to recognize advantages and disadvantages of each technique in order to identify the most beneficial one. This study is a comparative clinical trial conducted on 100 consecutive ICU admitted patients who needed prolonged intubation; half of them underwent PDT with Ciaglia method and other half with Griggs method. Procedural time and short term complications including bleeding, vital signs instability and technical errors were compared in both two methods. Both groups were comparable in demographic characteristics. Griggs method performed significantly faster than Ciaglia method (P=0.001). Complications such as high grade bleeding (P=0.01) and cardiac dysrhythmias (P=0.07) were less in Ciaglia technique than Griggs. Skin incision smaller than required was reported more with Griggs method than Ciaglia (P=0.03). We conclude that PDT with Ciaglia method is safer with less complications than the Griggs method. We suggest use of Ciaglia for less experienced operators.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :کسری کاروندیان
نویسنده :مهزاد یوسفیان
نویسنده مسئول :زاهد حسین خان
نویسنده :تقی بیگ محمدی
نویسنده :ساناز شعبانی
Additional Information:Indexing in: Scopus, Google scholar, DOAJ, Embase, Magiran
کلیدواژه ها (انگلیسی):Percutaneus dilatation tracheostomy, Ciaglia, Griggs
Subjects:WB Practice of Medicine
Divisions:Faculty of Medicine > Department of Anesthesiology , Obstetrics & Gynecology
ID Code:12067
Deposited By: Dr Mahzad Yousefian
Deposited On:06 May 1398 12:11
Last Modified:06 May 1398 12:11

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