Percutaneous tracheotomy: Griggs technique

The Griggs percutaneous tracheotomy is a technique that is safe and cost effective, and can be done rapidly at the bedside. The Griggs percutaneous tracheotomy is unique in its utilization of a guidewire dilator forceps. The indications for Griggs percutaneous tracheotomy are identical to those used for open tracheotomy and include prolonged intubation, pulmonary toilet, and upper airway obstruction. Fiberscopic visualization has been promoted by some to potentially decrease complications. In this article, the indications, contraindications, technique, and complications of the Griggs method will be discussed.