Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy

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Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy

Percutaneous tracheostomy is a routine procedure in intensive care units. In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic tracheostomy is inapplicable. Retrosternal approach to tracheostomy in such 20 patients is herein reported. After preoperative neck computerized tomography to define the neck anatomy, a small ...

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Percutaneous Tracheostomy

Percutaneous dilatational tracheostomy (PDT) is a commonly performed procedure in critically sick patients. It can be safely performed bedside by intensivists.This has resulted in decline in the use of surgical tracheostomy in intensive care unit (ICU) except in few selected cases. Most common indication of tracheostomy in ICU is need for prolonged ventilation. About 10% of patients requiring a...

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[Percutaneous tracheostomy].

In the last few years numerous reports from intensive care units confirm that a nonsurgical percutaneous tracheostomy has successfully replaced elective conventional (surgical) tracheostomy. The majority of authors point out the advantages over surgical technique such as: the speed of procedure, the possibility of doing it at bedside thus excluding transport and the need for operating theatre, ...

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Percutaneous tracheostomy

BACKGROUND: Percutaneous tracheostomy (PT) has gained an increasing acceptance as an alternative to the conventional surgical tracheostomy (ST). In experienced hands, and with proper patient selection, it is safe, easy and quick. COMPLICATIONS: Perioperative complications are comparable with those of ST and these are mostly minor. An important advantage of PT over ST is that there is no need to...

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Percutaneous tracheostomy

The mortality risk associated with surgical tracheostomy has declined from 3–4% quoted in studies before 1985 to < 1%. The total complication rate has also declined over the same period from up to 90% to < 40%. The complication rate is doubled in ICU versus non-ICU patients and in tracheostomies performed in emergency situations. This is mainly due to an 8-fold increase in the intra-operative (...

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ژورنال

عنوان ژورنال: Critical Care Research and Practice

سال: 2010

ISSN: 2090-1305,2090-1313

DOI: 10.1155/2010/397270