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Comparative Study
Journal Article
Meta-Analysis
Dilatational versus standard tracheostomy: a meta-analysis.
Annals of Otology, Rhinology, and Laryngology 2000 September
The advent of percutaneous dilatational tracheostomy (PDT) was initially viewed by otolaryngologists with great skepticism. The purpose of this study was to compare the complications of PDT with those of standard tracheostomy (ST) by a meta-analysis of randomized studies. We found that ST had a fivefold higher rate of complications than did PDT, and these complications were often more severe. We conclude that PDT is a safer procedure for elective tracheostomy in carefully selected patients, ie, those with normal-sized necks.
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