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01.12.2018 | Letter | Ausgabe 1/2018 Open Access

Critical Care 1/2018

Comparison between surgical and percutaneous tracheostomy effects on procalcitonin kinetics in critically ill patients

Critical Care > Ausgabe 1/2018
Maria Vargas, Pasquale Buonanno, Lina Giorgiano, Giovanna Sorriento, Carmine Iacovazzo, Giuseppe Servillo


Available evidence from randomized controlled trials including adult critically ill patients tends to show that percutaneous dilatational tracheostomy (PDT) techniques are performed faster and reduce stoma inflammation and infection but are associated with increased technical difficulties compared with surgical tracheostomy (ST). A recent meta-analysis found that PDT was superior to reduce risk of periprocedural stoma inflammation and infection compared with ST. WE found no differences in procalcitonin, C-reactive protein, SOFA, and SAPS II between critically ill patients with ST or PDT.
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