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Clinical Investigations in Critical Care |

Late Outcome From Percutaneous Tracheostomy Using the Portex Kit*

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

*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.



Chest. 1999;115(4):1070-1075. doi:10.1378/chest.115.4.1070
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Published online

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.

Abbreviations: APACHE = acute physiology and chronic health evaluation; FIF50 = forced inspiratory flow at 50% of vital capacity


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