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Simply modified percutaneous tracheostomy using the Cook® Ciaglia Blue Rhino™: a case series
- Source :
- Korean Journal of Anesthesiology, Vol 69, Iss 3, Pp 301-304 (2016)
- Publication Year :
- 2016
- Publisher :
- Korean Society of Anesthesiologists, 2016.
-
Abstract
- 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 have yet to be widely adopted. This study retrospectively evaluated the safety of a simplified PDT technique using the Cook® Ciaglia Blue Rhino™ in 186 patients. After confirming the underlying structures by palpation, PDT was performed without a bronchoscope or blunt dissection, 2.0 cm below the cricothyroid membrane. Ultrasonography was used only when palpation was difficult. Except for bleeding in three patients with coagulopathy, none of the patients experienced any early or late complications, and there were no deaths related to PDT. These findings confirm that PDT can be safely performed using a simplified technique, which may be useful in situations with limited equipment and medical personnel.
- Subjects :
- airway management
bronchoscopy
tracheostomy
Anesthesiology
RD78.3-87.3
Subjects
Details
- Language :
- English
- ISSN :
- 20056419 and 20057563
- Volume :
- 69
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Korean Journal of Anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.7706288714549b79a6cda52fc3a0ebf
- Document Type :
- article
- Full Text :
- https://doi.org/10.4097/kjae.2016.69.3.301