[Clinical application of improved percutaneous tracheostomy with dilatational technique].
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.
Gu
Yong-liang
YL
Department of ICU, Zhejiang Haiyan People's Hospital, Haiyan 314300, Zhejiang, China.
Yao
Liang
L
Xie
Wen-jin
WJ
Zhang
Geng
G
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