Paper typeSystematic review and meta-analysis
ReferenceDelaney A, Bagshaw SM, Nalos M.
Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis.
Critical Care. 2006; 10: R55.
Major FindingPercutaneous dilatational tracheostomy (PDT) reduces the overall incidence of wound infection and may further reduce clinical relevant bleeding and mortality when compared with surgical tracheostomy when performed in the operating theatre. PDT, performed in the ICU, should be considered the procedure of choice for performing elective tracheostomies in critically ill adult patients.
Point for discussion:Are we convinced that PDT on the ICU is the tracheostomy technique of choice?