Improving ciaglia blue rhino technique for tracheostomy with a simple procedural modification
نویسندگان
چکیده
Introduction Percutaneous tracheostomy is one of the most commonly operative procedures performed in Intensive Care Unit (ICU) patients [1]. Ciaglia Blue Rhino technique (CBR) is used in our ICU. In our clinical practice we sometimes encountered difficulties in doing initial dilatation of the soft tissue and tracheal wall with the Blue Rhino dilator: it occurs expecially in young or obese patients and usually results in a longer procedure time and more related complications.Also other Authors report these difficulties [2].
منابع مشابه
Comparison between single-step and balloon dilatational tracheostomy in intensive care unit: a single-centre, randomized controlled study.
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INTRODUCTION To evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques, namely guide wire dilating forceps (GWDF) and Ciaglia Blue Rhino (CBR). METHODS A sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit...
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متن کاملSimply modified percutaneous tracheostomy using the Cook® Ciaglia Blue Rhino™: a case series
When first introduced, percutaneous dilatational tracheostomy (PDT) was performed using a bronchoscope. The bronchoscope itself, however, has several disadvantages, including interruption of ventilation. Modifications of the standard PDT technique have suggested that PDT can be safely performed without a bronchoscope. However, the safety of these modifications is unclear and many modifications ...
متن کاملA simple modification of Ciaglia Blue Rhino technique for tracheostomy: using a guidewire dilating forceps for initial dilation.
OBJECTIVE The potential difficulty in doing initial dilation in the percutaneous dilational tracheostomy (PDT) with the Ciaglia Blue Rhino (CBR) technique has been reported by others and encountered in our clinical practice. To resolve this problem, we developed a modified CBR technique by using a guidewire dilating forceps (GWDF) to facilitate initial dilation. The present before-and-after com...
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عنوان ژورنال:
دوره 3 شماره
صفحات -
تاریخ انتشار 2015