Clinical evaluation of PercuTwist_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ZHANG Wei , YAO Xiaopeng , DONG Yuchao ,  LI Qiang

Department of Pulmonary Medicine，Shanghai Changhai Hospital，Secondary Military Medical University．Shanghai，200433，ChinaCorresponding author：LI Qiang，E-mail：liqressh@yahoo.con.cn;

Corresponding author：

LI Qiang, Email: liqressh@yahoo.con.cn

Keywords：

PercuTwist; Percutaneous dilational tracheostomy; Complications

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Objective To compare the advantages and disadvantages of the PercuTwist technique．Methods Clinical data of patients undergoing PercuTwist and traditional tracheostomy during Jan 2007 to Feb 2008 in the department of pulmonary disease of Changhai Hospital were collected and analyzed．Results Of 16 patients with PercuTwist，12 were males and 4 were females．The minimum platelet before operation was 15 X 109／L The mean operating time f from local anesthesia to connecting ventilator)was(4.3±1.0)min，and complications occurred in 2 cases with 2 incidences．Of the 12 patients with traditional tracheostomy，8 were males and 4 were females．The minimum platelet before operation was 85 X 109／L．The mean operating time was(33.3±8.6)min，and complications occurred in 8 cases with11 incidences．There were significant differences in complications and operating time between the patients with PercuTwist and the patients with traditional tracheostomy(P lt;0.001 or 0.01)．Conclusions Compared with the traditional surgical tracheostomy，the PercuTwist technique takes less operating time and causes fewer complications．

Citation： ZHANG Wei,YAO Xiaopeng,DONG Yuchao,LI Qiang. Clinical evaluation of PercuTwist. Chinese Journal of Respiratory and Critical Care Medicine, 2008, 08(6): 463-466. doi: Copy

1.	Ciaglia P，Firsching R，Syniec C．Elective percutaneous dilatational tracheostomy：A new simple bedside procedure；preliminary repot．Chest，1985，87：715-719．.
2.	Griggs WM ，Wortbley LI，Gilligan JE，et al．A simple percutaneous tracheostomy technique．Surg Gynecol Obstet，1990，170：543-545．.
3.	Fantoni A，Ripamonti D．A non-derivate，non-surgical tracheostomy：the translaryngeal method．Intensive Care Med，1997，23：386-392．.
4.	Byhahn C，Wilke HJ，Halbig S，et al. Percutaneous tracheostomy：ciaglia Blue Rhino versus the basic ciaglia technique of pereutaneous dilational tracheostomy．Anesth Analg，2000，91：882—886．.
5.	Westpbal K，Maeser D，Scbeifler G，et al．PereuTwist：A new single-dilator technique for percutaneous tracheostomy．Anesth Analg，2003，96：229-232．.
6.	Hefner JF，Miller KS，Sahn SA．Tracheostomy in the intensive care unit．Part 1：Indications，technique，management. Chest，1986，90：269-274．.
7.	Briche T，Le Manach Y，Pats B．Complications of Percutaneous tracheostomy．Chest，2001，119：1282-1283．.
8.	Francois B，Clavel M ，Desachy A，et a1. Complications of Traeheostomy Performed in the ICU：subthyroid tracheostomy VS surgical cricothyroidotomy．Chest，2003，123：151-158．.
9.	Gunawardana RH. Experience with tracheostomy in medical intensive care patient．Postgrad Med J，1992，68：338-341．.
10.	Stauffer JL，Olson DE，Petty TL. Complications and consequences of endotracheal intubation and tracheostomy．Am J Med，1981，70：65-76．.
11.	Stock MC，Woodward CG，Shapiro BA，et al．Perioperative complications of elective tracheostomy in critically ill patients．Crit Care Med，1986，14：861-863．.

1. Ciaglia P，Firsching R，Syniec C．Elective percutaneous dilatational tracheostomy：A new simple bedside procedure；preliminary repot．Chest，1985，87：715-719．.
2. Griggs WM ，Wortbley LI，Gilligan JE，et al．A simple percutaneous tracheostomy technique．Surg Gynecol Obstet，1990，170：543-545．.
3. Fantoni A，Ripamonti D．A non-derivate，non-surgical tracheostomy：the translaryngeal method．Intensive Care Med，1997，23：386-392．.
4. Byhahn C，Wilke HJ，Halbig S，et al. Percutaneous tracheostomy：ciaglia Blue Rhino versus the basic ciaglia technique of pereutaneous dilational tracheostomy．Anesth Analg，2000，91：882—886．.
5. Westpbal K，Maeser D，Scbeifler G，et al．PereuTwist：A new single-dilator technique for percutaneous tracheostomy．Anesth Analg，2003，96：229-232．.
6. Hefner JF，Miller KS，Sahn SA．Tracheostomy in the intensive care unit．Part 1：Indications，technique，management. Chest，1986，90：269-274．.
7. Briche T，Le Manach Y，Pats B．Complications of Percutaneous tracheostomy．Chest，2001，119：1282-1283．.
8. Francois B，Clavel M ，Desachy A，et a1. Complications of Traeheostomy Performed in the ICU：subthyroid tracheostomy VS surgical cricothyroidotomy．Chest，2003，123：151-158．.
9. Gunawardana RH. Experience with tracheostomy in medical intensive care patient．Postgrad Med J，1992，68：338-341．.
10. Stauffer JL，Olson DE，Petty TL. Complications and consequences of endotracheal intubation and tracheostomy．Am J Med，1981，70：65-76．.
11. Stock MC，Woodward CG，Shapiro BA，et al．Perioperative complications of elective tracheostomy in critically ill patients．Crit Care Med，1986，14：861-863．.

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