Percutaneous Tracheostomy using Combined Griggs and Ciaglia Technique with Fibreoptic Guidance- A Prospective Observational Study
Published: June 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44109.13755
Satish Logidasan
, Kanimozhi Rathinasamy
, Karthick Srinivasan Ramachandran
, Arulraj Panchatcharam
,Gowri Shankar Anjenayan
, Prasana Vathanan
, Ambal Gopalakrishnan
, Karthik Arulprakasam
1. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
2. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
3. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
4. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
5. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
6. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
7. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
8. Assistant Professor, Department of Anaesthesiology, Government Stanley Medical College, Chennai, Tamil Nadu, India.
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.
[
FULL TEXT ] | [ PDF]