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Delaney et al. Systematic review of tracheostomy technique. Crit Care 2006

Created: 16/5/2007

Paper type

Systematic review and meta-analysis


Delaney A, Bagshaw SM, Nalos M.
Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis.
Critical Care. 2006; 10: R55.

Major Finding

Percutaneous dilatational tracheostomy (PDT) reduces the overall incidence of wound infection and may further reduce clinical relevant bleeding and mortality when compared with surgical tracheostomy when performed in the operating theatre. PDT, performed in the ICU, should be considered the procedure of choice for performing elective tracheostomies in critically ill adult patients.

Point for discussion:

Are we convinced that PDT on the ICU is the tracheostomy technique of choice?

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