ArticleInternational journal of critical illness and injury science
Chawla's modified Griggs percutaneous tracheostomy: A safe, cost-effective alternative for resource-limited intensive care units.
Article in International journal of critical illness and injury science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Percutaneous tracheostomy (PCT) offers advantages over surgical tracheostomy but remains underutilized in resource-limited settings due to dependence on bronchoscopy and costly commercial kits. Therefore, we conducted a retrospective study to evaluate the role of Chawla's modified Griggs PCT to overcome these barriers by eliminating bronchoscopy while maintaining safety. Methods: This retrospective study analyzed 72 intensive care unit patients undergoing modified PCT (2021-2023) using sterilized reusable instruments and low-cost disposables. Outcomes included success rates, complications, procedure time, and cost savings versus commercial kits. Results: The technique achieved 100% success with a mean procedure time of 6.2 ± 2.1 min. Only 3 cases (4.2%) had minor bleeding, with no major complications. Notably effective in 46 traumatic brain injury patients (63.9%), it reduced costs by 75%-85%. No delayed complications emerged at the 6-8 week follow-up. Conclusion: This modification demonstrates PCT can be performed safely and cost-effectively without bronchoscopy in resource-limited settings. The substantial cost savings and good outcomes in high-risk patients suggest strong potential for wider adoption in low- and middle-income countries, though prospective multicenter validation is needed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.