Dilatational versus standard tracheostomy: A meta-analysis

被引:56
作者
Cheng, E [1 ]
Fee, WE [1 ]
机构
[1] Stanford Univ, Med Ctr, Div Otolaryngol Head & Neck Surg, Stanford, CA 94305 USA
关键词
dilatational tracheostomy; endoscopic tracheostomy; percutaneous tracheostomy; tracheostomy;
D O I
10.1177/000348940010900903
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The advent of percutaneous dilatational tracheostomy (PDT) was initially viewed by otolaryngologists with great skepticism. The purpose of this study was to compare the complications of PDT with those of standard tracheostomy (ST) by a meta-analysis of randomized studies. We found that ST had a fivefold higher rate of complications than did PDT, and these complications were often more severe, We conclude that PDT is a safer procedure for elective tracheostomy in carefully selected patients, ie, those with normal-sized necks.
引用
收藏
页码:803 / 807
页数:5
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