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Percutaneous Tracheostomy using Combined Griggs and Ciaglia Technique with Fibreoptic Guidance- A Prospective Observational Study
UC11-UC14
Correspondence
Satish Logidasan,
14, Rajaji Street, Manavala Nagar, Thiruvallur-602002, Chennai, Tamil Nadu, India.
E-mail: drsatishlogi@gmail.com
Introduction: Percutaneous Tracheostomy (PCT) is a bed side procedure, done by the anesthesiologists in critically ill, patients. In the study centre, Fibre Optic Bronchoscopy (FOB) guided combined Griggs {Guidewire Forceps Dilatation (GWFD)} technique and Ciaglia’s single dilatation technique had been adopted, to make the procedure shorter and safer.
Aim: To evaluate the ease of insertion, timing of the procedure and complications when combining Griggs and Ciaglia technique for performing PCT under fiberoptic guidance.
Materials and Methods: This was a prospective observational study, done in 250 patients in whom the combined Griggs and Ciaglia technique were used to perform PCT, under Fiberoptic Bronchoscopy guidance.
Results: The mean duration of the procedure was 2.4±0.8 minutes. There was no complication due to the procedure per se. The mean bleeding volume was less than 10 mL. No voice changes or breathing difficulty present after 8 weeks of procedure.
Conclusion: By combining Griggs and Ciaglia technique, the procedure could be done in less than 3 minutes, the tapered dilator and the tracheostomy tube could be inserted in the 1st attempt, without any difficulty. The procedure-related complications occurred rarely. The complications were nil in the perioperative period.