Translaryngeal Tracheostomy Needle Introducer: a simple device to improve safety and reduce complications during Fantoni’s translaryngeal tracheostomy procedure: trial on human cadavers

Autor:	Emmanuel Charbonney, Giuseppe Foti, Paul Ouellet, Giacomo Bellani, Enrico Bassi, Patrice Gosselin, Alessandro Terrani, Caterina Valcarenghi
Přispěvatelé:	Terrani, A, Bassi, E, Valcarenghi, C, Charbonney, E, Ouellet, P, Gosselin, P, Bellani, G, Foti, G
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	medicine.medical_specialty Percutaneous Complications medicine.medical_treatment Translaryngeal tracheostomy Needle introducer Critical Care and Intensive Care Medicine Tracheostomy Procedure 03 medical and health sciences 0302 clinical medicine Tracheostomy Cadaver Performed Procedure Medicine Human cadaver Mechanical ventilation business.industry Research lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine 3D printing lcsh:RC86-88.9 Surgery 030228 respiratory system Digital fabrication Human anatomy Needle insertion Percutaneou Safety business Complication
Zdroj:	Intensive Care Medicine Experimental, Vol 7, Iss 1, Pp 1-12 (2019) Intensive Care Medicine Experimental
Popis:	Background Percutaneous dilatational tracheostomy (PDT) is the most frequently performed procedure in patients requiring prolonged mechanical ventilation. A crucial step in such procedures is needle insertion into the trachea. To simplify this procedure and increase its safety, we developed a new device, the translaryngeal Tracheostomy Needle Introducer (tTNI), for use with Fantoni’s method. This cadaver study was designed to assess the performance of the tTNI on human anatomy. Methods We tested the tTNI in a cadaver laboratory; the operators included two experts trained in PDT and three without specific training in the procedure. We performed 58 needle insertion attempts on 13 cadavers. We compared the tTNI technique with the standard needle insertion approach using external landmarks. We recorded the number of attempts needed to optimise needle insertion, time required in seconds, final position of the needle and complications related to needle insertion. Results tTNI use resulted in fewer puncture attempts (1.91 ± 1.34 vs. 1.19 ± 0.5, p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fe0718c64f462237456dd73ae23e5781 http://link.springer.com/article/10.1186/s40635-019-0221-x Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.