Is percutaneous dilatational tracheostomy with bronchoscopic guidance better than without?

Percutaneous dilatational tracheostomy (PDT) is a rapid, simple, and cost-effective procedure that is widely performed in intensive care units (ICUs). The use of bronchoscopic guidance may reduce the complication rates of PDT and may be very useful in the treatment of periprocedural complications. Moreover, PDT may be easier to perform through bronchoscopic visualization of the trachea, which could make the overall procedure safer and reduce the risk of complications [1]. However, bronchoscopy requires time to master, and the necessary equipment for its conduct may not be widely available. Moreover, at least two trained doctors must be involved when performing a PDT with bronchoscopic guidance. This study sought to compare the efficacy and safety of PDT performed with and without bronchoscopic guidance.