IMPROVING CIAGLIA BLUE RHINO TECHNIQUE FOR TRACHEOSTOMY WITH A SIMPLE PROCEDURAL MODIFICATION

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Improving ciaglia blue rhino technique for tracheostomy with a simple procedural modification

Introduction Percutaneous tracheostomy is one of the most commonly operative procedures performed in Intensive Care Unit (ICU) patients [1]. Ciaglia Blue Rhino technique (CBR) is used in our ICU. In our clinical practice we sometimes encountered difficulties in doing initial dilatation of the soft tissue and tracheal wall with the Blue Rhino dilator: it occurs expecially in young or obese patie...

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A simple modification of Ciaglia Blue Rhino technique for tracheostomy: using a guidewire dilating forceps for initial dilation.

OBJECTIVE The potential difficulty in doing initial dilation in the percutaneous dilational tracheostomy (PDT) with the Ciaglia Blue Rhino (CBR) technique has been reported by others and encountered in our clinical practice. To resolve this problem, we developed a modified CBR technique by using a guidewire dilating forceps (GWDF) to facilitate initial dilation. The present before-and-after com...

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Simply modified percutaneous tracheostomy using the Cook® Ciaglia Blue Rhino™: a case series

When first introduced, percutaneous dilatational tracheostomy (PDT) was performed using a bronchoscope. The bronchoscope itself, however, has several disadvantages, including interruption of ventilation. Modifications of the standard PDT technique have suggested that PDT can be safely performed without a bronchoscope. However, the safety of these modifications is unclear and many modifications ...

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Comparison of two percutaneous tracheostomy techniques, guide wire dilating forceps and Ciaglia Blue Rhino: a sequential cohort study

INTRODUCTION To evaluate and compare the peri-operative and postoperative complications of the two most frequently used percutaneous tracheostomy techniques, namely guide wire dilating forceps (GWDF) and Ciaglia Blue Rhino (CBR). METHODS A sequential cohort study with comparison of short-term and long-term peri-operative and postoperative complications was performed in the intensive care unit...

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Percutaneous dilatational tracheostomy – a comparison of three methods: Ciaglia Blue Rhino, PercuTwist and Griggs' Guidewire Dilation Forceps (GWDF)

Thirty-one patients (age 64 ± 13 [mean ± SD]) were enrolled, PDT were performed in three groups, 10 Ciaglia Blue Rhino (Cook), 10 PercuTwist (Rüsch) – a device employing a screw with a hydrophilic coating and 11 GWDF – using Griggs' specially designed dilational forceps (Portex). Duration of intervention, oxygenation parameters, blood loss and further complications peri-interventionally and pos...

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ژورنال

عنوان ژورنال: Intensive Care Medicine Experimental

سال: 2015

ISSN: 2197-425X

DOI: 10.1186/2197-425x-3-s1-a935