Several methods have been developed for performing percutaneous dilatational tracheostomy (PDT) since the introduction of technique in 1955. The has an acceptable, quicker, and safer method compared with surgical at bedside. We described unassisted PDT based on modified Selinger using Ciaglia Blue Rhino® introducer set.

Tracheostomy is a common procedure performed in critically ill patients requiring prolonged mechanical ventilation for acute respiratory failure and for airway issues. The ideal timing (early vs late) and techniques (percutaneous dilatational, other new percutaneous techniques, open surgical) for tracheostomy have been topics of considerable debate. In this review, we address general issues reg...

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...

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...

Study objective: The percutaneous dilatational tracheostomy can be performed with a low compli¬ cation rate if several important technical details are followed. This study delineates our experience and recommends changes in the operative technique. Design and setting: Patients requiring tracheostomy were selected for percutaneous dilatational tracheostomy based on previously reported criteria. ...

STUDY OBJECTIVES To determine the patency of standard and modified Portex tracheostomy tubes inserted by the percutaneous dilatational technique. DESIGN Prospective observational study. SETTING Medical-surgical ICUs in a tertiary care community hospital. PATIENTS Medical-surgical ICU patients requiring tracheostomy. INTERVENTIONS Consecutive medical-surgical ICU patients requiring trach...

Percutaneous dilatational tracheostomy is a common procedure in intensive care. This guideline from the Danish Society of Intensive Care Medicine (DSIT) and the Danish Society of Anesthesiology and Intensive Care Medicine (DASAIM) describes indications and contraindications, timing, complications compared to surgical tracheostomy, anaesthesia and technique, decannulation strategy, as well as tr...

Sir, Percutaneous dilatational tracheostomy (PCT) even though has appropriately replaced the surgical tracheostomy by far in critical care settings, yet the fact that it accompanies a myriad of both trivial and nontrivial complications cannot be denied. One such complication already mentioned in literature includes inadvertent migration of guidewire into the Murphy’s eye of endotracheal tube (E...