Abstract
When percutaneous tracheostomy was steadily gaining acceptance in the community of intensivists worldwide, the Australian surgeon William Griggs invented another tracheostomy technique – the guide wire dilating forceps technique (GWDF). The stoma is created with a modified Howard Kelly forceps, in which the guidewire passes through a central hole in the tip of the closed forceps. Spreading the forceps by pulling the handles apart dilates pretracheal tissues and the anterior tracheal wall. The final step consists of inserting a lubricated tracheostomy tube with its obturator into the tracheal lumen. The entire procedure requires continuous bronchoscopic surveillance.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Griggs WM, Worthley LIG, Gilligan JE, Thomas PD, Myburgh JA. A simple percutaneous tracheostomy technique. Surg Gynecol Obstet. 1990;170:543–5.
Ambesh SP, Pandey CK, Srivastava S, Agarwal A, Singh DK. Percutaneous tracheostomy with single dilatation technique: a prospective, randomized comparison of Ciaglia blue rhino versus Griggs’ guidewire dilating forceps. Anesth Analg. 2002;95:1739–45.
Byhahn C, Wilke HJ, Lischke V, Rinne T, Westphal K. Bedside percutaneous tracheostomy: clinical comparison of Griggs and Fantoni techniques. World J Surg. 2001;25:295–301.
Fikkers BG, van Heerbeek N, Krabbe PF, Marres HA, van den Hoogen FJ. Percutaneous tracheostomy with the guide wire dilating forceps technique: presentation of 171 consecutive patients. Head Neck. 2002;24:625–31.
Fikkers BG, Staatsen M, van den Hoogen FJ, van der Hoeven JG. Early and late outcome after single step dilatational tracheostomy versus the guide wire dilating forceps technique: a prospective randomized clinical trial. Intensive Care Med. 2011;37:1103–9.
Kluge S, Meyer A, Kühnelt P, Baumann HJ, Kreymann G. Percutaneous tracheostomy is safe in patients with severe thrombocytopenia. Chest. 2004;126:547–51.
Walz MK, Schmidt U. Tracheal lesion caused by percutaneous dilatational tracheostomy – a clinico-pathological study. Intensive Care Med. 1999;25:102–5.
Leonard RC, Lewis RH, Singh B, van Heerden PV. Late outcome from percutaneous tracheostomy using the Portex kit. Chest. 1999;115:1070–5.
Steele APH, Evans HW, Afaq MA, Robson JM, Dourado J, Tayar R, Stockwell MA. Long-term follow-up of Griggs percutaneous tracheostomy with spiral CT and questionnaire. Chest. 2000;117:1430–3.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Byhahn, C. (2016). Percutaneous Tracheostomy: The Guide Wire Dilating Forceps Technique. In: Servillo, G., Pelosi, P. (eds) Percutaneous Tracheostomy in Critically Ill Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-22300-1_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-22300-1_7
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-22299-8
Online ISBN: 978-3-319-22300-1
eBook Packages: MedicineMedicine (R0)