Aspect | Aspect | Open surgical tracheotomy | Percutaneous dilatational tracheotomy (minimally invasive tracheotomy) |
General outcomes in all patients
|
Wound infection
|
+++ (Pooled odds ratio (OR) for wound infection was 0.28 (95% confidence interval, 0.16 to 0.49, p < 0.0005), indicating a significant reduction with PDT compared to ST (10).) |
+
|
Bleeding, mortality | ++ | + | |
Ideal setting | Ideal setting | OT | Easy execution at patient’s bedside |
Length of procedure Spillage of blood and secretions | Length of procedure Spillage of blood and secretions |
++
|
+ (9)
|
+++ (9) | + | ||
Incomplete paralysis of patient leading to aerosol generation | Incomplete paralysis of patient leading to aerosol generation | +++ | + |
Aerosol generation during procedure | Aerosol generation during procedure | ++ | + |
Safety during difficult anatomy (short neck, morbid obesity, limited neck extension, local malignancy, tracheal deviation) | Safety during difficult anatomy (short neck, morbid obesity, limited neck extension, local malignancy, tracheal deviation) | +++ | + |