Percutaneous Dilatational Tracheostomy Using Tube Exchanger
| Autor: | Alexander Gurevich, Shimon Ivry, Edward Altman, Evgeni Kukuev, Ohad Ronen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Percutaneous Catheters medicine.medical_treatment Pilot Projects Tracheostomy medicine Intubation Intratracheal Intubation Humans Tube (fluid conveyance) Complication rate Prospective Studies Treatment Failure Endotracheal tube Retrospective Studies Retrospective review business.industry Modified technique Equipment Design Dilatation Respiration Artificial Surgery Catheter Anesthesiology and Pain Medicine Chest Tubes business |
| Zdroj: | Anesthesia and analgesia. 129(2) |
| ISSN: | 1526-7598 |
| Popis: | We describe a modified technique for percutaneous dilatational tracheostomy using a 15F tube exchanger or Eschmann catheter. A retrospective review of 1180 procedures using this modified technique demonstrated it to be effective with a failure rate of only 0.25% (3 patients). Moreover, it provides an additional safeguard with the ability to rapidly reintroduce the endotracheal tube into the trachea guided by the exchange catheter in the event of accidental extubation during the procedure. This technique needs no additional special devices or equipment (eg, a bronchoscope). However, a prospective study is needed to better define its complication rate. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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