Shams Raza Brohi, Farida Wagan, Ghulam Nabi Memon, Ali Raza Brohi, Qamer Raza Brohi.
Use of guide wire dilating forceps (GWDF) percutaneous tracheostomy technique in comatose patients.
Med Channel Jan ;14(1):45-7.

INTRODUCTION: Percutaneous dilatational tracheostomy is a minimally invasive method for bedside tracheostomy of adult patients who need long-term ventilation. The purpose of this study is to assess the peri-operative and postoperative complications of the guide wire dilating forceps (GWDF) percutaneous tracheostomy technique in neurosurgery patients. METHODS: This Quasi-experimental study was conducted over a period of 2 years in the Neurosurgery ward NMC Nawabshah in 26 patients who underwent a tracheostomy with the GWDF technique. With Seldinger technique percutaneous puncture of the trachea between 2rd and 3rd tracheal ring, a guide wire was placed into the trachea. The wound channel around the wire was dilated until a tracheal cannula can be put in place. RESULTS: Percutaneous tracheostomy technique is quick and associated with no significant major complications, either peri-operative or postoperative. Cost wise the percutaneous dilatational tracheostomy set is expensive. Furthermore, anesthesia person is required for endotracheal intubation and constant ventilation throughout the procedure. CONCLUSION: Despite few minor complications, the guide wire dilating forceps (GWDF) percutaneous tracheostomy technique seem reliable in Neurosurgery patients.

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