GKD Anest Yoð Bak Dern Derg. 2020; 26(3): 133-138 | DOI: 10.5222/GKDAD.2020.91819

Ciaglia ve Griggs' Perkutanöz Dialatasyonel Trakeostomi Yöntemlerinin Karþýlaþtýrmasý: Hangisi Daha Etkili ve Güvenli?

Þerife Bektaþ¹, Mine Altýnkaya Çavuþ², Ýbrahim Mungan¹, Sema Turan^1
1Yoðun Bakým Ünitesi, Ankara Þehir Hastanesi, Ankara,Türkiye
²Yoðun Bakým Ünitesi, Kayseri Þehir Hastanesi, Kayseri,Türkiye

GÝRÝÞ ve AMAÇ: Perkutan dilatasyon trakeostomi yöntemlerinden Griggs (GWDR) ve Ciaglia Blue Rhino’yu (CBR) avantajlarý ve dezavantajlarý ile deðerlendirip birbirlerine üstünlüklerini saptamak.
YÖNTEM ve GEREÇLER: 2015-2016 yýllarý arasýnda ICU’da percutan dilatasyon trakeostomi yapýlan toplam 84 hasta çalýþmaya dâhil edildi. Hastalarýn 42’sine Ciaglia metodu, 42’sine Griggs metodu ile bronkoskopi klavuzluðunda trakeostomi açýldý. Hastalarýn bütün verileri kayýt edildi.di.
BULGULAR: Çalýþma populasyonun yaþ medianlarý 65.5 (16-88) CBR, 66,5 (17-83) GWDR yýldý (p>0.05). CBR grubunda iþlem süresi medyan 4 dk. (range: 3,5-10), GBWR grubunda 4,5 dk. (3,5-11) idi (p>0.05). CBR grubunda toplam 20 hastada minör komplikasyon görülürken, GDWR grubunda 26 hastada minör komplikasyon görüldü. CBR grubunda toplam 13 hastada major komplikasyon görülürken, GDWR grubunda toplam 10 hastada major komplikasyon görüldü. Major ve minör komplikasyonlar her 2 grupta tek tek karþýlaþtýrýldýðýnda anlamlý bir fark yoktu. Her iki grubun iþlem sonrasý ICU’da kalýþ süreleri karþýlaþtýrýldýðýnda GDWR grubunda anlamlý olarak düþüktü (p=0.03). Obezitenin komplikasyon geliþme riskini 22.89 (%95CI: 5.85-89.55, p=0.01) arttýrdýðý gözlendi.
TARTIÞMA ve SONUÇ: Çalýþmada, hem GDWR yöntemi hem de CBR yöntemi arasýnda küçük farklar dýþýnda önemli bir farka rastlanmadý. Her iki yöntemin etkili ve güvenli olduðu gözlendi.

Anahtar Kelimeler: Griggs, Ciaglia Blue Rhino, Perkutanöz Dilatasyonel Trakeostomi, Komplikasyonlar, Etkinlik

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Comparison of Ciaglia and Griggs Percutaneous Dilatation Tracheostomy Methods: Which one is more effective and safe?

Þerife Bektaþ¹, Mine Altýnkaya Çavuþ², Ýbrahim Mungan¹, Sema Turan^1
1Department of Intensive Care Unit,Ankara City Hospital Ankara,Turkey
²Department of Intensive Care Unit,Kayseri City Hospital Kayseri,Turkey

INTRODUCTION: To evaluate Griggs (GWDR) and Ciaglia Blue Rhino (CBR) percutaneous dilatation
tracheostomy methods with their advantages and disadvantages and to determine their
superiority to each other.
METHODS: A total of 84 patients who underwent percutaneous dilatation tracheostomy between 2015 and 2016 were included in the study. Bronchoscopy-guided tracheostomy was performed in 42 patients with Ciaglia method and 42 patients with Griggs method. All data of the patients were recorded.
RESULTS: The median age of the study population was 65.5 (16-88) years in the CBR group and 66.5 (17-83) years in the GWDR group (p>0.05). The median duration of the procedure was 4 minutes (range, 3.5 to 10 minutes) in the CBR group and 4.5 minutes (range, 3.5 to 11 minutes) in the GBWR group (p>0.05). Minor complications were seen in 20 patients in the CBR group and 26 patients in the GDWR group. Major complications were seen in 13 patients in the CBR group and 10 patients in the GDWR group. The comparison of major and minor complications per se in both groups showed no significant difference. The duration of ICU stays after the procedure was significantly lower in the GDWR group compared to the CBR group (p=0.03). It was observed that obesity increased the risk of complications by 22.89% (95% GA, 5.85-89.55, p=0.01).
DISCUSSION AND CONCLUSION: There were no significant differences between GDWR and CBR methods except for small differences. Both methods were found to be effective and safe.

Keywords: Griggs, Ciaglia Blue Rhino, Percutaneous dilatation tracheostomy, Complications, effectiveness.

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