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Percutaneous tracheostomy by Griggs technique under rigid bronchoscopic guidance is safe and feasible in children.

Abstract：

OBJECTIVE:The aim of this study is to report prospective data of pediatric cases that underwent percutaneous tracheostomy (PT) to show that PT is a safe and feasible procedure in children even in small infants. PATIENTS AND METHODS:PT was done in 51 consecutive patients. Demographic data, indications, complications and outcome were recorded prospectively. Initial 6 PT was done by Giaglia technique whereas the Griggs technique was used in the consecutive 45 patients. RESULTS:Fifty-one patients with mean age of 38±54months (1month-17years) and, mean weight of 12.4±13kg underwent PT. The only major complication was perforation of esophagus (n=1, 2%) which was recognized early and immediately repaired by cervical approach. This complication occurred in the 6th case done with the Giaglia technique. After conversion to the Griggs technique no major complication was encountered in the consecutive 45 procedures. The mean period of follow up was 21±13.7months. Narrowing of the stoma site requiring simple dilation was developed in 3 (5.8%) patients. CONCLUSION:PT is a safe and easy procedure and a less invasive alternative to surgical tracheostomy even in small infants. We strongly recommend PT done by Griggs technique in children. It is important that it should be done in an operating room setting and under rigid bronchoscopic guidance.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Gollu G,Ates U,Can OS,Kendirli T,Yagmurlu A,Cakmak M,Aktug T,Dindar H,Bingol-Kologlu M

doi

10.1016/j.jpedsurg.2016.05.013

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

1635-9

issue

10

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(16)30094-X

journal_volume

51

pub_type

临床试验,杂志文章

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