Comparison of Standard and Percutaneous Tracheostomy Complications in Shariati Hospital in Iran

Background: Tracheostomy is a procedure which aims at better managing patients’ airway. It can be doneusing two methods: standard and percutaneous. The percutaneous method is a favorable choice for critically illpatientsbecause it is a less invasive procedure. This study compares the short-term complications of these twomethods (during 7 days after the procedure).Methods: This study was a cross-sectional research performed on 50 ICU patients in need of tracheostomy.The patients were divided into two groups of percutaneous procedure (15 patients) and standard procedure(35 patients). The complications were registered in questionnaires and the data were analyzed using SPSSsoftware (χ² test and t-test).Results: The two groups had no significant difference in age, sex, and vital signs. Average duration of theprocedure was 24.4 minutes in the standard procedure (10-45 minutes) and 26.78 minutes (5-70 minutes) in thepercutaneous procedure, and there was no significant difference between two groups (P = 0.814). Averagebleeding during 7 days after the procedure was 44 cc (10-150 cc) in standard procedure and 24.7 cc (10-50 cc)in the percutaneous procedure, and the difference was significant (P = 0.012). The other variables were notsignificantly different in two groups.Conclusions: There was no difference in short-term complications between percutaneous and standardtracheostomy method should be selected considering other important factors.© 2015 Tehran University of Medical Sciences. All rights reserved.Citation: Ghorbani-Abdehgah A, Mirzaei-Baboli K, Ashouri M, Tajedin A, Gohari-Moghadam K.Comparison of Standard and Percutaneous Tracheostomy Complications in Shariati Hospital in Iran.Acad J Surg, 2015; 2(1-2): 7-10.

Keywords:

Tracheostomy , Complications , Standard , Percutaneous