[Complications of percutaneous tracheostomy in German otorhinolaryngological departments].
OBJECTIVE
This study was carried out to clarify complications which need intervention from otorhinolaryngologists after percutaneous dilatational tracheostomy (PDT).


METHODS
In October 1996 questionnaires were sent to all heads of otorhinolaryngological departments in Germany. The first part of this questionnaire dealt with the frequency and application of PDT. In the second questionnaire specifications were made about complications that had been observed personally by the head of the department. The questionnaire inquired not only about complications in his or her own patients, but in all patients that had been referred to the department.


RESULTS
Of the departments contacted 78% returned evaluated questionnaires. The most frequently used method was the modification described by Ciaglia. This method was more often used by anesthesists and specialists in internal medicine and general surgery. PDT was in use in 10% of the ENT departments. The most frequently observed complications were bleeding during the change of the canula and tracheal stenosis. Four fatal cases were reported in connection with PDT. Almost half of the department heads responding felt PDT was not appropriate for intensive care patients. Thirty-three percent believed that PDT was suitable. Three percent thought that PDT was a more effective method than conventional tracheostomy.
Dost
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Universitäts-Hals-Nasen-Ohren-Klinik Essen.
Koeser
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D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004106:Dilatation / Q000009:adverse effects; D005260:Female; D005858:Germany; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D013503:Surgery Department, Hospital; D011795:Surveys and Questionnaires; D014139:Tracheostomy / Q000009:adverse effects* / Q000379:methods