Table 4: Surgical tracheotomy vs Percutaneous dilatational tracheotomy
Aspect Aspect Open surgical tracheotomy Percutaneous dilatational tracheotomy (minimally invasive tracheotomy)
General outcomes in all patients
Wound infection
+++ (Pooled odds ratio (OR) for wound infection was 0.28 (95% confidence interval, 0.16 to 0.49, < 0.0005), indicating a significant reduction with PDT compared to ST (10).)
+
Bleeding, mortality ++ +
Ideal setting Ideal setting OT Easy execution at patient’s bedside
Length of procedure Spillage of blood and secretions Length of procedure Spillage of blood and secretions
++
+ (9)
+++ (9) +
Incomplete paralysis of patient leading to aerosol generation Incomplete paralysis of patient leading to aerosol generation +++ +
Aerosol generation during procedure Aerosol generation during procedure ++ +
Safety during difficult anatomy (short neck, morbid obesity, limited neck extension, local malignancy, tracheal deviation) Safety during difficult anatomy (short neck, morbid obesity, limited neck extension, local malignancy, tracheal deviation) +++ +