title: Percutaneous dilatational tracheostomy and surgically created thracheostomy in ICU patients.
abstract: BACKGROUND
  Following advances of Intensive Care medicine and widespread administration of mechanical ventilation, tracheostomy has become one of the indispensable surgical procedures. During this research we tried to assess and compare two main strategies for doing tracheostomy: Surgically Created Tracheostomy (SCT) and Percutaneous Dilatational Tracheostomy (PDT).
  
  
  METHODS
  In a randomized clinical trial, 60 cases of patients who were admitted in Intensive Care Unit (ICU) and needed tracheostomy during their stay were enrolled. Patients were randomly divided into two groups. SCT technique was considered for the first group and PDT for the second one. Demographic characteristics, associated and underlying diseases, type and duration of procedure, duration of receiving mechanical ventilation and ICU stay, expenses and complications of tracheostomy including bleeding, subcutaneous emphysema, pneumothorax, stomal infection and airway loss were all recorded during study and compared between both groups.
  
  
  RESULTS
  There were significant differences between two groups of patients in terms of duration of receiving mechanical ventilation (P=0.04), duration of tracheostomy procedure (P=0.001) and procedure expenses (P=0.04). There was no significant difference between two groups in terms of age and gender of patients, duration of ICU stay and complications of tracheostomy including copious bleeding, stomal infection, subcutaneous emphysema and airway.
  
  
  CONCLUSIONS
  According to the results of our study and similar researches, it can be concluded that PDT can be considered as the preferred procedure in cautiously selected patients during their ICU stay.
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Mohammad Amin
authors.initials: MA
authors.lastname: Valizade Hasanloei
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Mahoori
authors.affiliation: Department of Neurosurgery, Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Amir Mohammad
authors.initials: AM
authors.lastname: Bazzazi
authors.affiliation: Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Samad E J
authors.initials: SE
authors.lastname: Golzari
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Urmia University of Medical Sciences, Urmia, Iran.
authors.forename: Tohid
authors.initials: T
authors.lastname: Karami
keywords: Complications; Intensive Care Unit; Percutaneous Dilatation Tracheostomy (PDT); Surgically Created Tracheostomy (SCT)
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