title: [Clinical application of improved percutaneous tracheostomy with dilatational technique].
abstract: OBJECTIVE
  To evaluate clinical application of improved percutaneous tracheostomy with dilatational technique.
  
  
  METHODS
  In 55 patients an improved percutaneous tracheostomy was used, and in another 52 patients an old technique of percutaneous tracheostomy was used.
  
  
  RESULTS
  The cost of the improved percutaneous tracheostomy was only (216.0+/-4.4) yuan, operation time was (5.0+/-3.5) minutes, while the cost of the old method was (3 011.0+/-5.3) yuan, and operation time was (10.0+/-6.9) minutes. The difference between them was significant (t=23.60, 4.76, both P<0.001), but there were no differences in the time of bleeding and healing (both P>0.05).
  
  
  CONCLUSIONS
  The improved percutaneous tracheostomy was more expeditious, costless, better healing, scar smaller. Therefore, it is useful in emergency care, and it can take the place of classical tracheostomy.
authors.affiliation: Department of ICU, Zhejiang Haiyan People's Hospital, Haiyan 314300, Zhejiang, China.
authors.forename: Yong-liang
authors.initials: YL
authors.lastname: Gu
authors.forename: Liang
authors.initials: L
authors.lastname: Yao
authors.forename: Wen-jin
authors.initials: WJ
authors.lastname: Xie
authors.forename: Geng
authors.initials: G
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004106:Dilatation / Q000191:economics / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014139:Tracheostomy / Q000191:economics / Q000379:methods*; D055815:Young Adult