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Báo cáo y học: "Background: Percutaneous tracheostomy (PT) has gained an increasing acceptance as an alternative to the conventional surgical tracheostomy (ST). In experienced hands, and with proper patient selection, it is safe, easy and quick."

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Background: Percutaneous tracheostomy (PT) has gained an increasing acceptance as an alternative to the conventional surgical tracheostomy (ST). In experienced hands, and with proper patient selection, it is safe, easy and quick. | cc039.qxd 14 05 99 06 56 Page 5 Review R5 Percutaneous tracheostomy Sirak Petros Background Percutaneous tracheostomy PT has gained an increasing acceptance as an alternative to the conventional surgical tracheostomy ST . In experienced hands and with proper patient selection it is safe easy and quick. Complications Perioperative complications are comparable with those of ST and these are mostly minor. An important advantage of PT over ST is that there is no need to move a critically ill patient to the operating room and the rate of stomal infection is very low. Although data on late complications of PT are not yet sufficient available reports show a favourable result. Addresses Universitat Leipzig Medizinische Klinik und Poliklinik I Abteilung fur Intensivmedizin Leipzig Germany Correspondence Dr Sirak Petros Universitat Leipzig Medizinische Klinik und Poliklinik I Abteilung fur Intensivmedizin Philipp-Rosenthal-Strasse 27a 04103 Leipzig Germany. Tel 49 0341 9712706 fax 49 0341 2615456 e-mail pets@medizin.uni-leipzig.de Techniques Ciaglia s method is the most commonly applied but no study has shown superiority of any of the percutaneous techniques described. The decision on which method to use should solely be made depending on the clinical situation and the experience of the operator. The learning curve demands caution attention to detail and adequate experience on the part of the intensive care physician. Although PT is unfortunately declared easy it must be left in the hands of experienced physicians to avoid unnecessary complications and the risk of overimplementation should be kept in mind. Keywords percutaneous tracheostomy surgical tracheostomy complications techniques comparison learning curve Received 7 August 1998 Accepted 15 April 1999 Published 18 May 1999 Crit Care 1999 3 R5-R10 The original version of this paper is the electronic version which can be seen on the Internet http ccforum.com . The electronic version may contain additional information to