Читать книгу Mount Sinai Expert Guides - Группа авторов - Страница 119

 Bedside approaches are performed either as open, cut‐down procedures or via PDT using the Seldinger method. The Seldinger method is essentially a blind procedure done at the bedside.

 The primary advantages to the bedside approach are the more efficient use of OR time and the consequent cost savings, which include those of patient transportation and general anesthesia.

 Further advantages of PDT include smaller incisions, decreasing the likelihood for poor wound healing, scarring, and peristomal bleeding, and reduced local site infections. The procedure can also be more timely.

 LOS in the ICU as well as time to placement of the tracheostomy is significantly shortened with PDT, suggesting further cost savings when using bedside procedures.

 Most importantly, major complications and mortality are similar between PDT and open surgical tracheostomy. This is regardless of whether the bedside procedure is PDT or open.