Evaluation of a new technique for bedside percutaneous tracheostomy

Cothren, Clay C.; Offner, Patrick J.; Moore, Ernest E.; Haenel, James B.; Biffl, Walter L.; Souza, André Lustosa de; Johnson, Jeffrey L.

doi:10.1016/s0002-9610(02)00797-3

Cited by 4 publications

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“…Zur Vermeidung dieses Verletzungsrisikos wurde die Blue-Rhino-Technik mit nur einem Dilatator entwickelt. Byhahn[13], Johnson[14] und Cothren[15] untersuchten in prospektiven Studien insgesamt mehr als 193 Patienten (n = 96 bei Ciaglia-Multidilatator-Technik, n = 97 bei Blue Rhino-Technik). Unter Anwendung der Blue-Rhino-Technik lieû sich die Tracheotomie im Vergleich zur konventionellen Ciaglia-Technik zeitlich nahezu doppelt so schnell durchführen.…”

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Zur Wertigkeit der Dilatationstracheotomie

Kehrl

Sagowski²,

Wenzel³

et al. 2003

Laryngorhinootologie

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After standardizing surgical procedures around 1900 Shelden, Toye, Weinstein and Ciaglia developed the percutaneous dilational tracheotomy (PDT). At present it is recognized that about 50 % of the anesthesiological Intensive care Units (ICU) in Germany are using the PDT while favoring the Ciaglia-technique in the majority of cases. Further techniques are known as Griggs-, Fantoni-, Percu-Twist- and Blue-Rhino-method. Some of these are relatively new, therefore making critical comparison with other methods almost impossible due to lack of experience. The most feared complications of PDT are injury of the cricoid cartilage or of the rear tracheal wall as well as paratracheal positioning of a tracheotomy tube. Comparison between PDT and surgical techniques are difficult due to certain contraindications for PDT which are not valid for surgical procedures. Consecutively PDT will not be able to substitute surgical tracheotomy in the future. It furthermore can't be advocated as an alternative therapeutic option for mobile in-patients outside the ICU.

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