0
Clinical Investigations in Critical Care |

Long-term Follow-up of Griggs Percutaneous Tracheostomy With Spiral CT and Questionnaire*

Adrian P. H. Steele, MB BChir; Hywel W. Evans, MBBS; Mazhar A. Afaq, MBBS; Jane M. Robson, MBBS; Jane Dourado; Rene Tayar, MD; Martin A. Stockwell, MBBS
Author and Funding Information

*From the Department of Anaesthesia (Drs. Steele, Evans, Stockwell, and Afaq) and the Department of Radiology (Mss. Robson and Dourado and Dr. Tayar), St. Helier Hospital, Carshalton, UK.

Correspondence to: Adrian P. H. Steele, MB BChir, Department of Anaesthesia, Hammersmith Hospital, Du Cane Rd, London W12 O4S, UK; e-mail: steele@primex.co.uk



Chest. 2000;117(5):1430-1433. doi:10.1378/chest.117.5.1430
Text Size: A A A
Published online

Objective: To assess late complications following percutaneous tracheostomy using the Griggs technique.

Design: Observational cohort study

Setting: General ICU of a 700-bed district general hospital in the United Kingdom.

Patients: Twenty-five patients who underwent Griggs tracheostomy in the ICU and survived for at least 6 months after decannulation.

Intervention: Patients were invited to attend for assessment by questionnaire and for spiral CT of the trachea.

Results: Eight patients had moderate tracheal dilatation, two patients were permanently hoarse, nine patients had minor voice changes, no patient had tracheal stenosis, and no patient had a disfiguring scar.

Conclusion: Following Griggs percutaneous tracheostomy, 8 of 25 patients developed moderate tracheal dilatation, and none developed a tracheal stenosis. The cosmetic result after Griggs tracheostomy is good, but the number of patients with minor voice changes is high. A further investigation of long-term outcome following Griggs tracheostomy is necessary.

Figures in this Article

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543