Vargas M, Buonanno P, Giorgiano L, Sorriento G, Iacovazzo C, Servillo G. Comparison between surgical and percutaneous tracheostomy effects on procalcitonin kinetics in critically ill patients.
CRITICAL CARE : THE OFFICIAL JOURNAL OF THE CRITICAL CARE FORUM 2018;
22:297. [PMID:
30428908 PMCID:
PMC6236902 DOI:
10.1186/s13054-018-2245-0]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 10/18/2018] [Indexed: 11/20/2022]
Abstract
Available evidence from randomized controlled trials including adult critically ill patients tends to show that percutaneous dilatational tracheostomy (PDT) techniques are performed faster and reduce stoma inflammation and infection but are associated with increased technical difficulties compared with surgical tracheostomy (ST). A recent meta-analysis found that PDT was superior to reduce risk of periprocedural stoma inflammation and infection compared with ST. WE found no differences in procalcitonin, C-reactive protein, SOFA, and SAPS II between critically ill patients with ST or PDT.
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