Current research trends comparing percutaneous dilatational tracheostomy and conventional surgical tracheostomy: a systematic review

Basavaraj Walikar, Ankush Pandit, S. M. Rashinkar, M. V. Watwe, Yashaswini K.


A review of research trends, followed in tracheostomy studies, are discussed by several otolaryngologists as a comprehensive review on tracheostomy is extremely difficult to compile mainly due to its voluminous nature and the difficulty in obtaining the scattered information, as isolated pieces of research, an attempt has been made to review some of the recent research publications to depict current research trends in the area of tracheostomy. An overview of the literature shows that percutaneous dilatational tracheostomy (PDT) is as safe and effective as surgical tracheostomy (ST). Although early and late post-operative complication rates are not statistically significant in the PDT group, further investigations of long-term outcome following PDT are therefore necessary. Generally, PDT has fewer acute complications than ST, although this may vary by the specific PDT technique. Patient factors also influence complications. In view of the benefit verses risks in tracheostomy, PDT may be considered the procedure of choice for performing elective tracheostomy in critically ill adult patients.



Surgical tracheostomy, Percutaneous dilatational tracheostomy, Intensive care unit, Operation room, Stoma

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McWhorter AJ. Tracheotomy: timing and techniques. Current Opinion in Otolaryngol Head Neck Surg. 2003;11(6):473-9.

Seldinger SI. Catheter replacement of the needle in percutaneous arteriography:a new technique. Acta Radiologica. 1953;39(5):368-76.

Shelden CH, Pudenz RM, Tichy FY. Percutaneous Tracheotomy. J Am Med. Assoc. 1957;165:2068-70.

Ciaglia P, Firsching R, Syniec C. Elective Percutaneous Dilatational Tracheostomy:A New Simple Bedside Procedure; Preliminary Report. Chest. 1985;87(6):715-9.

Hazard PB, Garrett HE, Adams JW, Robbins ET, Aguillard RN. Bedside Percutaneous Tracheostomy: Experience with 55 Elective Procedures. Ann Thorac Surg. 1988;46:63-7.

Delaney A, Bagshaw SM, Nalos M. Percutaneous Dilatational Tracheostomy versus surgical Tracheostomy in critically ill Patients: A Systematic Review and meta-analysis. Critical Care. 2006;10(2):1-13.

Youssef TF, Ahmed MR, Saber A. Percutaneous dilational versus conventional surgical tracheostomy in intensive care patients. North Am J Med Sci. 2011;3(11):508-12.

Turkmen A, Altan A, Turgut N, Yildirim G, Ersoy A, Koksal C, et al. Comparison of Percutaneous Dilational Tracheostomy with Surgical Tracheostomy. M E J Aneszth. 2008;19(5):1055-67.

Weissbrod PA, Merati AL. Is Percutaneous Dilational Tracheostomy Equivalent to Traditional Open Surgical Tracheostomy with regard to Perioperative and Postoperative Complications? Laryngoscope. 2012;122:1423-4.

Putensen C, Theuerkaul N, Guenther U, Vargas M, Pelosi P. Percutaneous and Surgical Tracheostomy in Critically ill Adult Patients: A meta-analysis. Critical Care. 2014;18:1-21.

Durbin CJ. Early Complications of Tracheostomy. Respiratory Care. 2005;50(4):511-5.

Gambale G, Cancellieri F, Baldini U, Vacchi Suzzi M, Baroncini S, Ferrari F, et al. Ciaglia Percutaneous Dilational Tracheostomy. Early and Late Complications and Follow up. Inerva Anestesiol. 2003;69(11):825-30.

Klussmann JP, Brochhagen HG, Stittel C, Eckel HE, Wasserman K. Atresia of the Trachea following Repeated Percutaneous Dilational Tracheotomy. Chest. 2001;119:961-4.

Arabi YM, Alhashemi JA, Tamim HM, Esteban A, Haddad SH, Dawood A, et al. The impact of time to tracheostomy on mechanical ventilation duration, length of stay and mortality in intensive care unit patients. J Crit Care. 2009;24:435-40.

Veenith T, Ganeshmoorthy S, Standley T, Carter J. Young P. Intensive care unit tracheostomy:A snapshot of UK practice. Int Arch Med. 2008;1:21.

Griggs WM, Myburg JA, Worthley LIG. A prospective comparison of a percutaneous tracheostomy technique with standard surgical tracheostomy. Intensive Care Med. 1991;17:261-3.