Rigid bronchoscopy-guided percutaneous tracheostomy.
نویسندگان
چکیده
We describe a case series of seven patients that demonstrates the usefulness of rigid bronchoscopy in percutaneous tracheostomy. The technique was used in selected patients who had a previous tracheostomy, a difficult airway, high risk of bleeding, or a tracheal stent in place.
منابع مشابه
تراکئوستومی اتساعی تعدیل شده با یا بدون برونکوسکوپی: کارآزمایی بالینی تصادفی
Background and purpose: Percutaneous dilatational tracheostomy is widely accepted in many Intensive Care Units (ICU) in the word. The aim of this study was to compare the complications of Modified Percutaneous Dilatational Tracheostomy (MPDT) with or without bronchoscopy. Materials and methods: A randomized clinical trial was performed in 270 ICU patients, candidate for tracheostomy in Babol R...
متن کاملPercutaneous 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...
متن کاملReal-time ultrasound-guided percutaneous dilatational tracheostomy: a feasibility study
INTRODUCTION Ultrasound (US) performed prior to percutaneous tracheostomy (PT) may be useful in avoiding injury to pretracheal vascular structures and in avoiding high placement of the tube. Bedside real-time US guidance with visualization of needle path is routinely utilized for other procedures such as central venous catheterization, and may enhance the safety and accuracy of PT without causi...
متن کاملLife threatening complications after unsuccessful attempt of the guidewire dilating forceps tracheostomy in multi-trauma patient with cervical spine injury.
Percutaneous tracheostomy (PCT) is a safe method under proper patient selection, increased technical experience and bronchoscopy- or ultrasound-guided procedure. Trauma patients with cervical spine fractures and spinal cord injury are at a high risk for respiratory failure and require a definitive airway followed by prolonged mechanical ventilation. We would like to present multiple, life- thre...
متن کاملTracheal flap after percutaneous dilatational tracheotomy.
A 66-YR-OLD male patient developed expiratory stridor shortly after decannulation. Bronchoscopy showed, at the stoma site, a large flap (fig. A and B, arrows) that moved synchronously with the respiratory cycle and obstructed more than 80% of the lumen during expiration (fig. B). The reinsertion of the tracheotomy tube trapped the flap between the tube itself and the anterior tracheal wall, and...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- British journal of anaesthesia
دوره 95 3 شماره
صفحات -
تاریخ انتشار 2005