• Rev Col Bras Cir · Nov 2011

    Review

    [Percutaneous tracheosthomy: ideal technique?].

    • Rodrigo Afonso da Silva Sardenberg, Antonio Bomfim M Avertano, and Riad N Younes.
    • Departamento de Cirurgia Torácica do Hospital AC Camargo, São Paulo, SP, BR. rodafs@uol.com.br
    • Rev Col Bras Cir. 2011 Nov 1; 38 (6): 435-9.

    ObjectivesThe percutaneous dilatational tracheostomy has become the technique of choice in the Intensive Care Unit, due safety and facilities to be performed at bedside, wich may overcome the risks associated with transport of critically ill patients to the Operating Room. Proponents of percutaneous dilatational tracheostomy suggest that the limited dissection results in less tissue damage, lowers the risk of bleeding and wound infection. The aim of this study is to review the techniques of percutaneous dilatational tracheostomy through a critical analysis of it's indications, contra-indications and complications, as well to compare percutaneous dilatational tracheostomy to surgical tracheostomy. This manuscript analysis and synthesizes randomized prospective studies, meta-analysis and systematic reviews, comparing both techniques in adult critically ill patients in the Intensive Care Unit.

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