Human factors play a vital role in the outcome of percutaneous dilatational tracheostomy

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Human factors play a vital role in the outcome of percutaneous dilatational tracheostomy

In a recent issue of Critical Care, we read with great interest the report by Simon and colleagues [1] on fatal complications of percutaneous dilatational tracheostomy (PDT). We agree with the authors’ suggestions for improving the safety of this procedure, but we think these improvements cover only part of the picture. We have previously concluded that PDT is a high-risk procedure [2]. This le...

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Percutaneous dilatational tracheostomy.

BACKGROUND The aim of this study was to investigate the rate, timing, the incidence of complications of percutaneous dilatational tracheostomy (PDT) and its effects by on nosocomial pneumonia. METHODS The study is a retrospective analysis of 104 patients (56 males, 48 females) > or = 18 years (54 +/- 19) who had undergone a PDT for respiratory failure during the five years 1998-2003. RESULT...

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Percutaneous dilatational tracheostomy techniques

As the number of critically ill patients requiring tracheotomy for prolonged ventilation has increased, the demand for a procedural alternative to the surgical tracheostomy (ST) has also emerged. Since its introduction, percutaneous dilatational tracheostomies (PDT) have gained increasing popularity. The most commonly cited advantages are the ease of the familiar technique and the ability to pe...

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Percutaneous Dilatational Tracheostomy

For decades, the standard technique for tracheostomy was the open, surgical technique. However, during the past 20 years, the use of percutaneous dilatational tracheostomy has been increased and shown to be a feasible and safe procedure in critically ill patients. The purpose of this report is to review the percutaneous dilatational tracheostomy technique, describe the role of bronchoscopy as g...

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The role of ultrasound in percutaneous dilatational tracheostomy

Background: The use of ultrasound to evaluate cervical anatomy and to guide tracheal puncture in real-time has been advocated to improve safety and efficacy of percutaneous dilatational tracheostomy (PDT) in intensive care. Objective: To review the potential role, attributed theoretical benefits and supporting literature for ultrasound during PDT. Results: A significant number of mostly observa...

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ژورنال

عنوان ژورنال: Critical Care

سال: 2014

ISSN: 1364-8535

DOI: 10.1186/cc13739