1999
DOI: 10.1034/j.1399-6576.1999.430420.x
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Percutaneous dilatational tracheostomy in a patient with thyroid cancer and severe airway obstruction

Abstract: A patient with extensive metastatic thyroid cancer scheduled for palliative tracheostomy is presented. He had laryngeal dislocation with severe airway obstruction and few anatomical landmarks due to tumour infiltration and radiation. Successful percutaneous dilatational tracheostomy was performed under local anaesthesia.

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Cited by 6 publications
(11 citation statements)
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“…Implicit in the argument promoting stringent selection criteria is that patients inherently predisposed to perioperative complications are best served by tracheostomy performance in the more controlled environment of the operating room. 1,7,8,12–14,22–24 This study was initiated in part to further examine this issue.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Implicit in the argument promoting stringent selection criteria is that patients inherently predisposed to perioperative complications are best served by tracheostomy performance in the more controlled environment of the operating room. 1,7,8,12–14,22–24 This study was initiated in part to further examine this issue.…”
Section: Discussionmentioning
confidence: 99%
“… 1–11 Furthermore, controversy persists regarding different methods of tracheostomy placement at the bedside. 12–17 This debate is in large part a result of the lack of a prospective randomized trial that defines patient selection criteria and directly compares open surgical with percutaneous dilational tracheotomy (PDT) at the bedside to establish their relative safety and cost‐effectiveness.…”
Section: Introductionmentioning
confidence: 99%
“…There are a few case reports of successful use of percutaneous tracheostomy techniques in the failed intubation [225][226][227] and CICV situation [228]. However, percutaneous tracheostomy techniques include a number of steps and can take time.…”
Section: Plan C: Maintenance Of Oxygenation and Ventilation And Postpmentioning
confidence: 99%
“…There are a few case reports of successful use of percutaneous tracheostomy techniques in the failed intubation [225–227] and CICV situation [228]. However, percutaneous tracheostomy techniques include a number of steps and can take time.…”
Section: Plan D: Rescue Techniques For ‘Can’t Intubate Can't Ventilamentioning
confidence: 99%