Long-term outcome after percutaneous dilational tracheostomy : Endoscopic and spirometry findings

We studied 41 patients who had previously undergone percutaneous dilational tracheostomy at least 6 months following tracheal decannulation. The patients were examined using laryngotracheoscopy and spirometry to assess the long-term anatomical and functional consequences of percutaneous dilational t...

Full description

Saved in:
Bibliographic Details
Published in:Anaesthesia 1997, Vol.52 (1), p.51-56
Main Authors: LAW, R. C, CARNEY, A. S, MANARA, A. R
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive respiratory care
Female
Follow-Up Studies
Humans
Intensive care medicine
Laryngoscopy
Male
Medical sciences
Middle Aged
Physical Examination
Respiratory Mechanics
Spirometry
Tracheal Stenosis - etiology
Tracheal Stenosis - physiopathology
Tracheostomy - adverse effects
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We studied 41 patients who had previously undergone percutaneous dilational tracheostomy at least 6 months following tracheal decannulation. The patients were examined using laryngotracheoscopy and spirometry to assess the long-term anatomical and functional consequences of percutaneous dilational tracheostomy. Apart from one patient who had requested a scar revision, no patient was symptomatic. A significant (> 10%) tracheal stenosis was identified in four asymptomatic patients, two of whom also had spirometric evidence of this obstruction. These results suggest that the long-term outcome after percutaneous tracheostomy is at least as good as that following conventional surgical tracheostomy. Refinements of the percutaneous technique, such as endoscopic guidance, may further improve the results.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1997.013-az013.x