Editing Tracheotomy (section)

===Percutaneous dilatational tracheotomy (PDT)===
The first widely accepted percutaneous tracheotomy technique was described by Pat Ciaglia, a New York surgeon, in 1985.<ref name="Ciaglia1985">{{cite journal | vauthors = Ciaglia P, Firsching R, Syniec C | title = Elective percutaneous dilatational tracheostomy. A new simple bedside procedure; preliminary report | journal = Chest | volume = 87 | issue = 6 | pages = 715–9 | date = June 1985 | pmid = 3996056 | doi = 10.1378/chest.87.6.715 | s2cid = 27125996 }}</ref> The next widely used technique was developed in 1989 by [[Bill Griggs]], an Australian intensive care specialist.<ref name="Griggs1990">{{cite journal | vauthors = Griggs WM, Worthley LI, Gilligan JE, Thomas PD, Myburg JA | title = A simple percutaneous tracheostomy technique | journal = Surgery, Gynecology & Obstetrics | volume = 170 | issue = 6 | pages = 543–5 | date = June 1990 | pmid = 2343371 }}</ref> In 1995, Fantoni developed a translaryngeal approach of percutaneous tracheostomy.<ref name=":7">{{Cite web|url=http://www.translaryngealtracheostomyfantoni.it/|title=Translaryngeal Tracheostomy- TLT Fantoni method|website=www.translaryngealtracheostomyfantoni.it|access-date=2018-12-21|archive-date=11 September 2017|archive-url=https://web.archive.org/web/20170911163221/http://translaryngealtracheostomyfantoni.it/}}</ref> The Griggs and Ciaglia Blue Rhino techniques are the two main techniques in current use. A number of comparison studies have been undertaken between these two techniques with no clear differences emerging.<ref name="Ambesh2002">{{cite journal|vauthors=Ambesh SP, Pandey CK, Srivastava S, Agarwal A, Singh DK|date=December 2002|title=Percutaneous tracheostomy with single dilatation technique: a prospective, randomized comparison of Ciaglia blue rhino versus Griggs' guidewire dilating forceps|journal=Anesthesia and Analgesia|volume=95|issue=6|pages=1739–45, table of contents|doi=10.1097/00000539-200212000-00050|pmid=12456450|s2cid=22222451|doi-access=free}}</ref> An advantage of PDT over OST is the ability to perform the procedure at the patient's bedside. This significantly decreases costs and time/people-power needed for an operating room (OR) procedure.<ref name=":6" /> Contraindications for percutaneous tracheostomy include infection at the site of tracheostomy, uncontrolled bleeding disorder, unstable cardiopulmonary status, patient unable to stay still, abnormal anatomy of the tracheolaryngeal structures.<ref name=":0" />