Percutaneous dilatational tracheotomy

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Tracheal flap after percutaneous dilatational tracheotomy.

A 66-YR-OLD male patient developed expiratory stridor shortly after decannulation. Bronchoscopy showed, at the stoma site, a large flap (fig. A and B, arrows) that moved synchronously with the respiratory cycle and obstructed more than 80% of the lumen during expiration (fig. B). The reinsertion of the tracheotomy tube trapped the flap between the tube itself and the anterior tracheal wall, and...

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Pathologic changes of the trachea after percutaneous dilatational tracheotomy.

The tracheas of 12 patients who had undergone autopsies after percutaneous dilatational tracheotomy (PDT) were analyzed macroscopically and microscopically. The puncture site of the trachea varied from just below the cricoid cartilage (two patients) to below the third ring (three patients). A fracture of one or more tracheal rings was present in 11 patients, of whom 2 had a fractured cricoid. D...

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Percutaneous dilatational tracheostomy.

BACKGROUND The aim of this study was to investigate the rate, timing, the incidence of complications of percutaneous dilatational tracheostomy (PDT) and its effects by on nosocomial pneumonia. METHODS The study is a retrospective analysis of 104 patients (56 males, 48 females) > or = 18 years (54 +/- 19) who had undergone a PDT for respiratory failure during the five years 1998-2003. RESULT...

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Percutaneous dilatational tracheostomy techniques

As the number of critically ill patients requiring tracheotomy for prolonged ventilation has increased, the demand for a procedural alternative to the surgical tracheostomy (ST) has also emerged. Since its introduction, percutaneous dilatational tracheostomies (PDT) have gained increasing popularity. The most commonly cited advantages are the ease of the familiar technique and the ability to pe...

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Percutaneous Dilatational Tracheostomy

For decades, the standard technique for tracheostomy was the open, surgical technique. However, during the past 20 years, the use of percutaneous dilatational tracheostomy has been increased and shown to be a feasible and safe procedure in critically ill patients. The purpose of this report is to review the percutaneous dilatational tracheostomy technique, describe the role of bronchoscopy as g...

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ژورنال

عنوان ژورنال: Intensivmedizin und Notfallmedizin

سال: 1998

ISSN: 0175-3851,1435-1420

DOI: 10.1007/s003900050130