Percutaneous dilatational tracheotomy

Pathologic Changes of the Trachea After Percutaneous Dilatational Tracheotomy

“…15 Since details are of importance to avoid long-term complications, this pathologic study may be helpful in improving the technique used. After clear identification of the tracheal rings, the trachea is punctured below the first or preferably the second tracheal ring.…”

Comparative clinical trial of progressive dilatational and forceps dilatational tracheostomy

“…Registration of these complications has probably no value if two percutaneous tracheostomy techniques are compared, but knowledge of findings like this is essential for a surgeon to avoid or recognize a problem. Puncturing the translaryngeal tube or puncturing through Murphy's eye is diagnosed easily by a twisting motion of the translaryngeal tube [19]. Another way to prevent this complication is the use of endoscopic control, which we did not perform during the study period [9,20].…”

“…The decision for tracheostomy was always made by the intensive care specialist. The indication was prolonged ventilation in 86, weaning from ventilatory support in 19, bronchial toilet in 14 and upper airway obstruction in 8 patients. Exclusion criteria for performing a tracheostomy were oxygen requirements of greater than 10 cmH 2 O positive end-expiratory pressure (PEEP) or 0.8 fraction of inspired oxygen (FIO 2 ), uncorrectable coagulopathy, infection of the soft tissues of the neck and fracture of the cervical spine.…”