Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10175
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dc.contributor.authorSilvester, William-
dc.contributor.authorGoldsmith, Donna-
dc.contributor.authorUchino, Shigehiko-
dc.contributor.authorBellomo, Rinaldo-
dc.contributor.authorKnight, Simon R-
dc.contributor.authorSeevanayagam, Siven-
dc.contributor.authorBrazzale, Danny J-
dc.contributor.authorMcMahon, Marcus-
dc.contributor.authorBuckmaster, Jon-
dc.contributor.authorHart, Graeme K-
dc.contributor.authorOpdam, Helen Ingrid-
dc.contributor.authorPierce, Robert J-
dc.contributor.authorGutteridge, Geoffrey A-
dc.date.accessioned2015-05-15T23:32:34Z
dc.date.available2015-05-15T23:32:34Z
dc.date.issued2006-08-01-
dc.identifier.citationCritical Care Medicine; 34(8): 2145-52en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/10175en
dc.description.abstractTo compare the safety, availability, and long-term sequelae of percutaneous vs. surgical tracheostomy.Prospective, randomized, controlled study.Combined medical/surgical intensive care unit in a tertiary referral hospital.Two hundred critically ill mechanically ventilated patients who required tracheostomy.Tracheostomy by either percutaneous tracheostomy or surgical tracheostomy performed in the intensive care unit.The primary outcome measure was the aggregate incidence of predefined moderate or severe complications. The secondary outcome measures were the incidence of each of the components of the primary outcome. Long-term follow-up included clinical assessment, flow volume loops, and bronchoscopy. Both groups were well matched for age, gender, admission Acute Physiology and Chronic Health Evaluation II score, period of endotracheal intubation, reason for intubation, and admission diagnosis. There was no statistical difference between groups for the primary outcome. Bleeding requiring surgical intervention occurred in three percutaneous tracheostomy patients and in no surgical tracheostomy patient (p = .2). Postoperative infection (p = .044) and cosmetic sequelae (p = .08) were more common in surgical tracheostomy patients. There was a shorter delay from randomization to percutaneous tracheostomy vs. surgical tracheostomy (p = .006). Long-term follow-up revealed no complications in either group.Both percutaneous tracheostomies and surgical tracheostomies can be safely performed at the bedside by experienced, skilled practitioners.en
dc.language.isoenen
dc.subject.otherAgeden
dc.subject.otherCicatrix.etiologyen
dc.subject.otherCritical Illnessen
dc.subject.otherEstheticsen
dc.subject.otherFemaleen
dc.subject.otherFollow-Up Studiesen
dc.subject.otherHemorrhage.etiologyen
dc.subject.otherHumansen
dc.subject.otherIntensive Care.methodsen
dc.subject.otherIntensive Care Unitsen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherPneumothorax.etiologyen
dc.subject.otherProspective Studiesen
dc.subject.otherRespiration, Artificialen
dc.subject.otherSurgical Wound Infection.etiologyen
dc.subject.otherTracheostomy.adverse effects.methodsen
dc.titlePercutaneous versus surgical tracheostomy: A randomized controlled study with long-term follow-up.en
dc.typeJournal Articleen
dc.identifier.journaltitleCritical Care Medicineen
dc.identifier.affiliationAustin Hospital, Melbourne, Australiaen
dc.identifier.doi10.1097/01.CCM.0000229882.09677.FDen
dc.description.pages2145-52en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/16775568en
dc.type.contentTexten
dc.type.austinJournal Articleen
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