{"@type": "dcat:Dataset", "accessLevel": "public", "bureauCode": ["009:25"], "contactPoint": {"@type": "vcard:Contact", "fn": "NIH", "hasEmail": "mailto:info@nih.gov"}, "description": "Background:\n          Although the standard tracheostomy described in 1909 by Jackson\n\t\t\t\thas been extensively used in critical patients, a more simple procedure that\n\t\t\t\tcan be performed at the bedside is needed. Since 1957 several different types\n\t\t\t\tof percutaneous tracheostomy technique have been described. The purpose of the\n\t\t\t\tpresent study was to compare two bedside percutaneous tracheostomy techniques:\n\t\t\t\tpercutaneous dilatational tracheostomy (PDT) and the guidewire dilating forceps\n\t\t\t\t(GWDF).\n        \n        \n          Materials and methods:\n          A prospective study in two medical/surgical intensive care units\n\t\t\t\t(ICUs) was carried out. Sixty-three critically ill patients who required\n\t\t\t\tendotracheal intubation for longer than 15 days were consecutively selected to\n\t\t\t\tundergo PDT (25 patients) or GWDF (38 patients) technique. Intraoperative and\n\t\t\t\tpostoperative complications were recorded.\n        \n        \n          Results:\n          Age (mean \u00b1 standard error) was 63 \u00b1 1.1 years. The\n\t\t\t\tpatients had been mechanically ventilated for an average of 19.8 \u00b1 1.2\n\t\t\t\tdays. The GWDF technique was significantly faster than PDT technique\n\t\t\t\t(P = 0.02). Fifteen complications occurred in 10 out of 63 (15%)\n\t\t\t\tpatients. They were as follows: tracheal tear (one patient in each group; in\n\t\t\t\tone case this was due to false passage); transient hypotension (one patient in\n\t\t\t\tthe PDT group and two patients in the GWDF group); atelectasis (one patient in\n\t\t\t\tthe PDT group); and haemorrhage (one patient in the PDT group and three\n\t\t\t\tpatients in the GWDF group). In both patients with tracheal tear, reduced\n\t\t\t\tarterial oxygen saturation (SaO2) with concomitant subcutaneous\n\t\t\t\temphysema ensued.\n        \n        \n          Conclusion:\n          We found no statistical differences between complications with\n\t\t\t\tboth techniques. The surgical time required for the GWDF technique was less\n\t\t\t\tthan that for PDT.", "distribution": [{"@type": "dcat:Distribution", "description": "Visit the original government dataset for complete information, documentation, and data access.", "downloadURL": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC29040/", "mediaType": "text/html", "title": "Official Government Data Source"}], "identifier": "https://healthdata.gov/api/views/mvpv-4ukv", "issued": "2025-07-13", "keyword": ["ciaglia-technique", "critical-care", "griggs-technique", "nih", "percutaneous-tracheostomy"], "landingPage": "https://healthdata.gov/d/mvpv-4ukv", "modified": "2025-09-06", "programCode": ["009:048"], "publisher": {"@type": "org:Organization", "name": "National Institutes of Health"}, "theme": ["NIH"], "title": "Percutaneous tracheostomy: comparison of Ciaglia and Griggs\n\t\t  techniques"}