Abstract:
OBJECTIVE:To assess late outcome following percutaneous tracheostomy using the Portex kit (Hythe, Kent, UK). DESIGN:Prospective observational cohort study. SETTING:Teaching hospital. PATIENTS:Forty-nine consecutive patients who underwent percutaneous tracheostomy in the ICU using the Portex kit and who survived 6 months after the procedure. INTERVENTIONS:Questionnaires regarding six symptoms were sent to all 49 surviving patients; the 39 respondents were invited to attend for review. Thirteen patients underwent pulmonary function testing, of whom 10 also underwent fiberoptic laryngotracheoscopy under local anesthesia. RESULTS:The most common symptom was a minor change in voice. One patient had required treatment for symptomatic tracheal stenosis by the time of review; one was referred for revision of a tethered scar. Pulmonary function testing was easily performed by all patients and revealed no evidence of upper airway obstruction. Tracheoscopy likewise showed no evidence of tracheal stenosis. CONCLUSIONS:One of 49 patients had developed tracheal stenosis. None of the patients attending for detailed review showed any sign of late complications other than one tethered scar.
journal_name
Chestjournal_title
Chestauthors
Leonard RC,Lewis RH,Singh B,van Heerden PVdoi
10.1378/chest.115.4.1070subject
Has Abstractpub_date
1999-04-01 00:00:00pages
1070-5issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(16)37743-1journal_volume
115pub_type
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