An analysis of time and staff utilization for open versus percutaneous tracheostomies

David M. Kaylie, Peter Andersen, Mark Wax

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

OBJECTIVE: We examined staff utilization and procedure length for percutaneous and open bedside tracheostomies in an intensive care setting STUDY DESIGN: Prospective clinical outcomes study. METHODS: Intensive care unit (ICU) tracheostomy consults meeting criteria for bedside procedures were randomized to open or percutaneous procedures. The Cook percutaneous kit and a prepackaged tracheostomy tray were used. ICU nursing and respiratory-therapy staff was present for all procedures. The total resident time, staff time, and procedure length were recorded. Twelve patients underwent percutaneous tracheostomy, and 12 received an open tracheostomy. RESULTS: An operating room nurse was present for 7 of the open procedures. Ancillary medical staff was present for 3 open tracheostomies: anesthesia for 2 and critical care for 1. Ancillary medical staff was present for 4 percutaneous tracheostomies: anesthesia staff for 1 and critical care for 3. The average resident presence, staff presence, and procedure length for open tracheostomies were 47, 30, and 12 minutes, respectively. For percutaneous tracheostomies, the times were 39, 29, and 12 minutes, respectively. One intraoperative complication occurred during a percutaneous procedure and 2 perioperative complications occurred: 1 in the open group and 1 in the percutaneous group. CONCLUSIONS: There was no significant difference in procedure length, resident time, or staff time between the 2 procedures. Ancillary staff was occasionally used but was not thought to be necessary for the majority of procedures. Both procedures can be safely and expediently performed in the ICU.

Original languageEnglish (US)
Pages (from-to)109-114
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume128
Issue number1
DOIs
StatePublished - Jan 2003

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Tracheostomy
Critical Care
Intensive Care Units
Medical Staff
Anesthesia
Critical Care Nursing
Respiratory Therapy
Intraoperative Complications
Operating Rooms
Nurses
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

An analysis of time and staff utilization for open versus percutaneous tracheostomies. / Kaylie, David M.; Andersen, Peter; Wax, Mark.

In: Otolaryngology - Head and Neck Surgery, Vol. 128, No. 1, 01.2003, p. 109-114.

Research output: Contribution to journalArticle

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