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(Chest. 1999;115:1070-1075.)
© 1999 American College of Chest Physicians

Late Outcome From Percutaneous Tracheostomy Using the Portex Kit*

Richard C. Leonard, MB BChir; Richard H. Lewis, MB BS; Bhajan Singh, MB BS and P. Vernon van Heerden, MB BCh, FCCP

* From the Departments of Intensive Care (Drs. Leonard and van Heerden), Otolaryngology (Dr. Lewis), and Pulmonary Physiology (Dr. Singh), Sir Charles Gairdner Hospital, Perth, Australia.

Objective: To assess late outcome following percutaneous tracheostomy using the Portex kit (Hythe, Kent, UK).

Design: Prospective observational cohort study.

Setting: Teaching hospital.

Patients: Forty-nine consecutive patients who underwent percutaneous tracheostomy in the ICU using the Portex kit and who survived 6 months after the procedure.

Interventions: Questionnaires regarding six symptoms were sent to all 49 surviving patients; the 39 respondents were invited to attend for review. Thirteen patients underwent pulmonary function testing, of whom 10 also underwent fiberoptic laryngotracheoscopy under local anesthesia.

Results: The most common symptom was a minor change in voice. One patient had required treatment for symptomatic tracheal stenosis by the time of review; one was referred for revision of a tethered scar. Pulmonary function testing was easily performed by all patients and revealed no evidence of upper airway obstruction. Tracheoscopy likewise showed no evidence of tracheal stenosis.

Conclusions: One of 49 patients had developed tracheal stenosis. None of the patients attending for detailed review showed any sign of late complications other than one tethered scar.

Key Words: tracheal stenosis • tracheostomy, percutaneous dilational




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