EAJAIC
Eurasian Journal of Anesthesiology and Intensive Care

The Eurasian Journal of Anesthesiology and Intensive Care (EAJAIC) is an independent-unbiased, peer-reviewed, "double-blind", and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, differential diagnoses, editorial opinions, letters to the editor, and educational papers in anesthesiology, algology, and intensive care medicine.

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eISSN: 3023-6738
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Original Article
Bronchoscopy guided percutaneous dilatational tracheostomy; performed by anaesthesiology residents
Abstract
Aims: Percutaneous dilatational tracheostomy can be performed safely at the bedside in critical patients today. Clinical studies on tracheostomy were mostly carried out by experienced healthcare professionals. This study was designed to investigate the differences of percutaneous dilatational tracheostomy performed by anaesthesiology residents using two different methods.
Methods: Patients hospitalized in anaesthesia intensive care unit who underwent percutaneous tracheostomy were examined. All tracheostomy procedures were performed by anaesthesiology residents using the “Griggs” or “Ciaglia” method. The procedure time, difficulty and complications of both methods were recorded.
Results: 38 patients were included in the study. It was observed that 22 of the patients had tracheostomy with the Griggs technique, and 16 with the Ciaglia technique. Tracheostomy application time was measured as 6.05 minutes with the Griggs technique and 6.35 minutes with the Ciaglia technique (p=0.939). There was no difference in complications and technical difficulties between the two methods.
Conclusion: In this study, where bedside bronchoscopy guided percutaneous dilatational tracheostomies were applied by two different methods by anaesthesiology residents, no difference was found between the two methods in terms of complications and technical difficulties. We believe that "Griggs" and "Ciaglia Blue Rhino", two of the percutaneous dilatational tracheostomy methods, are not superior to each other in terms of ease of use and complications in anaesthesiology education.

Keywords : Tracheostomy, bronchoscopy, critical care, anaesthesiology/education

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1. Zgoda M, Berger R. Tracheostomy in the critically ill patient: who,when and how? a review. Clin Pulm Med. 2006;13(2):111-120.
2. Raimondi N, Vial MR, Calleja J, et al. Evidence-based guidelines for theuse of tracheostomy in critically ill patients. J Crit Care. 2017;38:304-318.
3. Krishnan K, Elliot SC, Mallick A. The current practice of tracheostomy inthe United Kingdom: a postal survey. Anaesthesia. 2005;60(4):360-364.
4. Griggs WM, Worthley LI, Gilligan JE, Thomas PD, Myburg JA. Asimple percutaneous tracheostomy technique. Surg Gynecol Obstet.1990;170(6):543-545.
5. Ambesh SP, Pandey CK, Srivastava S, Agarwal A, Singh DK.Percutaneous tracheostomy with single dilatation technique: aprospective, randomized comparison of ciaglia blue rhino versus griggsguidewire dilating forceps. Anesth Analg. 2002;95(6):1739-1745.
6. An˜on JM. Percutaneous tracheostomy: ciaglia blue rhino versus griggs’guide wire dilating forceps. A prospective randomized trial. ActaAnaesthesiol Scand. 2004;48(4):451-456.
7. Kumar M, Trikha A, Chandralekha. Percutaneous dilatationaltracheostomy: griggs guide wire dilating forceps technique versusultra-perc single-stage dilator-a prospective randomized study. IndianJ Crit Care Med. 2012;16(2):87-92.
8. Karvandian K, Yousefian M, Khan ZH, Baigmohammadi T, Shabani S.Comparative clinical trial between ciaglia and griggs techniques duringtracheostomy performed in patients admitted to intensive care unit.Acta Med Iran. 2012;50(8):525-529.
9. Kaiser E, Cantais E, Goutorbe P, Salinier L, Palmier B. Prospectiverandomized comparison of progressive dilational vs forceps dilationalpercutaneous tracheostomy. Anaesth Intensive Care. 2006;34(1):51-54.
10. Sanabria A. Which percutaneous tracheostomy method is better? Asystematic review. Respir Care. 2014;59(11):1660-1670.
11. Cabrini L, Landoni G, Greco M, et al. Single dilator vs. guide wiredilating forceps tracheostomy: a meta-analysis of randomised trials.Acta Anaesthesiol Scand. 2014;58(2):135-142.
12. Gucyetmez B, Atalan HK, Cakar N, Turkish Tracheotomy SurveyGroup. Elective tracheotomy practices in Turkey. PLoS One.2016;11(11):e0166097.
13. Kluge S, Baumann HJ, Maier C, et al. Tracheostomy in the intensivecare unit: a nationwide survey. Anesth Analg. 2008;107(5):1639-1643.
14. Plummer AL, Gracey DR. Consensus conference on artificial airwaysin patients receiving mechanical ventilation. Chest. 1989;96(1):178-180.
15. Gomes Silva BN, Andriolo RB, Saconato H, Atallah AN, Valente O.Early versus late tracheostomy for critically ill patients. CochraneDatabase Syst Rev. 2012;14(3):CD007271.
16. Huang H, Li Y, Ariani F, Chen X, Lin J. Timing of tracheostomy incritically ill patients: a meta-analysis. PLoS One. 2014;9(3):e92981. doi:10.1371/journal.pone.0092981
17. Adly A, Youssef TA, El-Begermy MM, Younis HM. Timing oftracheostomy in patients with prolonged endotracheal intubation: asystematic review. Eur Arch Otorhinolaryngol. 2018;275(3):679-690.
18. Fikkers BG, van Veen JA, Kooloos JG, et al. Emphysema andpneumothorax after percutaneous tracheostomy. Chest. 2004;125(5):1805-1814.
19. Tobler Jr WD, Mella JR, Ng J, Selvam A, Burke PA, Agarwal S. Chestx-ray after tracheostomy is not necessary unless clinically indicated.World J Surg. 2012;36(2):266-269.
20. Klemm E, Nowak AK. Tracheotomy-related deaths-a systematic review.Dtsch Arztebl Int. 2017;114(16):273-279.
21. Ernst A, Silvestri GA, Johnstone D. Interventional pulmonaryprocedures: guidelines from the American college of chest physicians.Chest. 2003;123(5):1693-1717.
22. Bolliger CT, Mathur PN, Beamis JF, et al. ERS/ATS statement oninterventional pulmonology. European Respiratory Society/AmericanThoracic Society. Eur Respir J. 2002;19(2):356-373.
23. Nates JL, Cooper DJ, Myles PS, Scheinkestel CD, Tuxen DV. Percutaneoustracheostomy in critically ill patients: a prospective, randomizedcomparison of two techniques. Crit Care Med. 2000;28(11):3734-3739.
Article available in :
Volume 1, Issue 1, 2024
Page : 6-10
https://doi.org/10.51271/EAJAIC-0002
Article Information
Received : 10 Oca 2024
Accepted : 29 Oca 2024
Published : 12 Şub 2024
Corresponding Author :

Arif Timuroğlu: Department of Anesthesiology and Reanimation, Dr. Abdurrahman Yurtaslan Ankara Oncology Hospital, Ankara, Turkiye

[email protected]
Citation : Timuroğlu A, Menteş S, Muslu S, et al. Bronchoscopy guided percutaneous dilatational tracheostomy; performed by anesthesiology residents. Eur J Anesthesiol Intensive Care. 2024;1(1):6-10.

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