Percutaneous tracheostomy Ciaglia Blue Rhino technique. Revision 2 years of experience

Abstract

Introduction: The tracheostomy described as about 1500 BC, only in recent decades has seen the development of systems for minimally invasive or percutaneous , of which the Ciaglia Blue Rhino technique (single dilator), is most often used today. Aim: We performed a retrospective study of tracheostomies performed at the FUSAT Clinical Hospital from Rancagua, between 2006 and 2012, in order to evaluate advan- tages, disadvantages and incidence of complications of open surgery versus percuta- neous technique in our hands. Material and methods: Included 64 tracheostomies of which 42 were percutaneous Ciaglia Blue Rhino technique. Results: In analyzing the results highlights shortening surgical time from 45.27 mi­nutes for classical technique to 15.28 minutes for percutaneous (statistically significant) in relation to complications, they showed a lower incidence in the group with percuta- neous technique, the learning curve of the procedure is quick, reaching its indication in our series more than 90% of cases once acquired experience. Conclusion: We believe that the technique is safe in the hands of Otolaryngologists and should be incorporated as another tool to the arsenal surgical specialty.