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Percutaneous dilation tracheostomy

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https://www.readbyqxmd.com/read/28181947/fiberoptic-guided-blue-rhino-dilator-assisted-dilation-of-postintubation-tracheal-stenosis-a-case-report-about-a-novel-technique
#1
Nishkarsh Gupta, Prasant Sahoo, Karan Madan, Sachidanand Jee Bharti
Posttracheostomy tracheal stenosis is a rare complication of prolonged tracheal intubation. Treatment modalities that may be used include surgical resection and anastomosis, endoscopic tracheal dilation, laser resection, and tracheal stenting. We describe a novel salvage modality for dilation of a symptomatic tracheal stenosis using a percutaneous tracheostomy dilator wherein rigid bronchoscopic dilation was not feasible and balloon tracheal dilation had failed.
February 8, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28112532/percutaneous-dilatational-tracheostomy-via-griggs-technique
#2
Hasan Ali Karimpour, Kamran Vafaii, Maryam Chalechale, Saeed Mohammadi, Rasool Kaviannezhad
BACKGROUND: Tracheostomy is considered the airway management of choice for patients who need prolonged mechanical ventilation support. Percutaneous Dilatational Tracheotomy (PDT) is a technique that can be performed easily and rapidly at bedside and is particularly useful in the intensive care setting. The Griggs percutaneous tracheotomy is unique in its utilization of a guide wire dilator forceps. OBJECTIVE: We aimed to describe the early perioperative and late postoperative complications of PDT using the Griggs technique in patients in the intensive care unit (ICU)...
January 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/28078354/-tracheal-laceration-after-dilatational-tracheostomy-a-case-of-succesful-conservative-management
#3
L Eichler, M Simon, S Kluge
During bronchoscopically guided percutaneous dilatational tracheostomy, a 71-year-old woman suffered a long-stretched tear to the posterior tracheal wall. The injury was suspected to be caused by blunt trauma during dilation or cannula insertion, possibly aggravated by vigorous cuff inflation. Since the defect ended just 0.5 cm proximal to the main carina, placing a cuffed endotracheal tube beyond the injury was not an option. However, we decided for a conservative treatment approach by placing a cuffed endotracheal tube under bronchoscopic visualization in direct proximity to the cranial end of the laceration...
January 11, 2017: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/28074819/percutaneous-tracheostomy
#4
REVIEW
Chitra Mehta, Yatin Mehta
Percutaneous dilatational tracheostomy (PDT) is a commonly performed procedure in critically sick patients. It can be safely performed bedside by intensivists.This has resulted in decline in the use of surgical tracheostomy in intensive care unit (ICU) except in few selected cases. Most common indication of tracheostomy in ICU is need for prolonged ventilation. About 10% of patients requiring at least 3 days of mechanical ventilator support get tracheostomised during ICU stay. The ideal timing of PDT remains undecided at present...
January 2017: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27999783/percutaneous-tracheostomy-beware-of-the-thyroidea-ima-artery
#5
Pagona Kamparoudi, Dimitrios Paliouras, Apostolos S Gogakos, Thomas Rallis, Nikolaos C Schizas, Achilleas Lazopoulos, Fotios Chatzinikolaou, Pavlos Sarafis, Paschalitsa Serchan, Nikolaos Katsikogiannis, Eirini Sarika, Paul Zarogoulidis, Ilias Karapantzos, Nikolaos Barbetakis
Percutaneous tracheostomy is a minimally invasive operation performed in patients, in order to provide an air passage through the windpipe. A rare cause of severe bleeding during such operation is the injury of the thyroidea-ima artery. This case report presents a patient with hemorrhage after thyroidea-ima injury during percutaneous dilatational tracheostomy. Surgeons should always be aware of such anatomic variation, in order to prevent urgent sternotomy.
November 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27893643/early-percutaneous-dilational-tracheostomy-does-not-lead-to-an-increased-risk-of-surgical-site-infection-following-anterior-spinal-surgery
#6
Chris Kaczmarek, Mirko Aach, Martin F Hoffmann, Emre Yilmaz, Christian Waydhas, Thomas A Schildhauer, Uwe Hamsen
BACKGROUND: Most patients with cervical spinal cord injuries require tracheostomy. The optimal timing is still a matter of debate. Previous studies showed that patients receiving early tracheostomy had fewer ventilator days and decreased rates of pneumonia and were mobilized earlier. Because of the proximity of the anterior approach to the tracheostoma, there is concern about an increased risk of surgical site infection (SSI) related to tracheostomy. METHODS: This was a retrospective analysis at a Level I trauma center of patient records from 2008 to 2014, identifying all patients with spinal cord injury who received anterior cervical spinal surgery and had early percutaneous dilational tracheostomy (PDT)...
February 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27852959/percutaneous-dilatational-tracheostomy-in-ankylosing-spondylitis-bechterew-disease-is-feasible-and-not-associated-with-higher-complication-rates
#7
Uwe Hamsen, Oliver Kamp, Chris Kaczmarek, Mirko Aach, Christian Waydhas, Thomas A Schildhauer, Oliver Jansen
BACKGROUND: Ankylosing spondylitis (AS) is a common disease with an incidence of approximately 0.5% in Europe, causing severe limitations of axial spine mobility and cervical kyphosis. Deformities of the cervical spine and the temporomandibular joints could increase the risk of complications while performing an intubation or tracheostomy. The percutaneous dilatational tracheostomy (PDT) is a standard procedure in intensive care medicine. However, the combination of cervical kyphosis and osteoporosis makes patient positioning challenging...
November 15, 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27833711/percutaneous-tracheostomy-and-percutaneous-angiography-the-diuturnity-of-sven-ivar-seldinger-of-mora-pasquale-ciaglia-of-utica
#8
Richard A Pollock
In the latter part of the 20th century, three developments intersected: skin-to-artery catheterization, percutaneous tracheostomy, and market introduction of video-chip camera-tipped endoscopes. By the millennium, every vessel within the body could be visualized radiographically, and percutaneous tracheostomy (with tracheal-ring "dilation," flawless high-resolution intratracheal video-imagery, and tracheal intubation) could consistently be achieved at the patient's bedside. Initiated through the skin and abetted by guide-wire insertion, these procedures are the lasting gifts of Sven-Ivar Seldinger (1921-1998) of Mora, Sweden, and Pasquale Ciaglia (1912-2000) of Utica, New York...
November 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/27756050/predicting-the-need-for-nonstandard-tracheostomy-tubes-in-critically-ill-patients
#9
Vinciya Pandian, Christoph T Hutchinson, Adam J Schiavi, David J Feller-Kopman, Elliott R Haut, Nicole A Parsons, Jessica S Lin, Chad Gorbatkin, Priya G Angamuthu, Christina R Miller, Marek A Mirski, Nasir I Bhatti, Lonny B Yarmus
PURPOSE: Few guidelines exist regarding the selection of a particular type or size of tracheostomy tube. Although nonstandard tubes can be placed over the percutaneous kit dilator, clinicians often place standard tracheostomy tubes and change to nonstandard tubes only after problems arise. This practice risks early tracheostomy tube change, possible bleeding, or loss of the airway. We sought to identify predictors of nonstandard tracheostomy tubes. MATERIALS AND METHODS: In this matched case-control study at an urban, academic, tertiary care medical center, we reviewed 1220 records of patients who received a tracheostomy...
February 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/27556147/percutaneous-dilatation-tracheostomy-in-patients-with-left-ventricular-assist-device-and-established-phenprocoumon-therapy
#10
Andreas Schaefer, Yvonne Schneeberger, Daniel Reichart, Alexander M Bernhardt, Mathias Kubik, Markus J Barten, Florian M Wagner, Stefan Kluge, Hermann Reichenspurner, Sebastian A Philipp
Over the last decade the number of heart transplantations declined and the number of implanted left ventricular assist devices (LVAD) markedly increased. Accordingly, common intensive care interventions rise and present their own challenges, especially due to the necessary anticoagulation regimen. One of these procedures is percutaneous dilatation tracheostomy (PDT). We herein report our experience with 34 patients with LVAD and established phrenprocoumon therapy (INR 2.1 ± 0.9, PTT 68.9 ± 19.0 sec...
August 22, 2016: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/27401983/fatal-air-embolism-as-complication-of-percutaneous-dilatational-tracheostomy-on-venovenous-extracorporeal-membrane-oxygenation-two-case-reports
#11
Achim Lother, Tobias Wengenmayer, Christoph Benk, Christoph Bode, Dawid L Staudacher
BACKGROUND: Tracheostomy is recommended in case of prolonged mechanical ventilation. Therefore, most patients with an indication for venovenous extracorporeal membrane oxygenation (ECMO) will also have an indication for tracheostomy. CASE PRESENTATION: We report 2 cases of fatal air embolism into the ECMO system as complication of percutaneous dilatational tracheostomy. Both patients had an AVALON ELITE® bi-caval cannula implanted draining blood from the vena cava superior and inferior...
July 11, 2016: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27390469/keep-an-eye-on-murphy-s-eye-during-percutaneous-dilatational-tracheostomy
#12
Prakash K Dubey, Om P Sanjeev
No abstract text is available yet for this article.
June 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27297040/percutaneous-tracheostomy-by-griggs-technique-under-rigid-bronchoscopic-guidance-is-safe-and-feasible-in-children
#13
Gulnur Gollu, Ufuk Ates, Ozlem S Can, Tanil Kendirli, Aydin Yagmurlu, Murat Cakmak, Tanju Aktug, Hüseyin Dindar, Meltem Bingol-Kologlu
OBJECTIVE: The aim of this study is to report prospective data of pediatric cases that underwent percutaneous tracheostomy (PT) to show that PT is a safe and feasible procedure in children even in small infants. PATIENTS AND METHODS: PT was done in 51 consecutive patients. Demographic data, indications, complications and outcome were recorded prospectively. Initial 6 PT was done by Giaglia technique whereas the Griggs technique was used in the consecutive 45 patients...
October 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27276781/bilateral-pneumothorax-as-a-complication-of-percutaneous-tracheostomy-case-report
#14
Tino Klancir, Višnja Nesek Adam, Viviana Mršić, Damjan Marin, Tatjana Goranović
Percutaneous dilatational tracheostomy is a common surgical procedure that is becoming the method of choice in critically ill patients whenever prolonged airway secure and/or ventilation support is needed. Although adverse events are relatively uncommon, serious life threatening complications can arise from this bedside procedure. We report a case of a 70-year-old female who developed extensive subcutaneous emphysema and bilateral pneumothorax immediately after a percutaneous dilatational tracheostomy procedure...
March 2016: Acta Clinica Croatica
https://www.readbyqxmd.com/read/27274380/simply-modified-percutaneous-tracheostomy-using-the-cook%C3%A2-ciaglia-blue-rhino%C3%A2-a-case-series
#15
Woosuk Chung, Byung Muk Kim, Sang-Il Park
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 have yet to be widely adopted. This study retrospectively evaluated the safety of a simplified PDT technique using the Cook® Ciaglia Blue Rhino™ in 186 patients...
June 2016: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/27246937/percutaneous-dilatational-tracheostomy-using-a-tracheoscopic-ventilation-tube-in-an-experimental-ex-vivo-animal-model
#16
A F Fiorelli, F F Ferraro, R M Milione, R S Scarumuzzi, P I Imitazione, L M Marulli, A O Orsini, M S Santini
The ETView(®) tube is a standard endotracheal tube with an embedded miniature video camera that permits real-time video imaging of the tracheal lumen. We evaluated its use when performing percutaneous dilatational tracheostomy (PDT) in an ex vivo animal model. The model consisted of a pig larynyx and trachea. The ETView tube was used as an alternative to bronchoscopy, to see all manoeuvres of PDT in real time. At the end of the PDT, operative time and any complications such as trauma to the cricoid cartilage, tracheal wall or tube cuff were assessed...
May 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27138007/minimally-traumatic-submental-intubation-a-novel-dilational-technique
#17
A Ujam, M Perry
PURPOSE: Submental intubation is widely accepted as a safe and effective alternative to nasal intubation or tracheostomy in head and neck surgery patients. Forceful or careless technique can cause significant bleeding and trauma to the soft tissues at this point, increasing the likelihood of troublesome sublingual haematoma. METHODS: We describe the use of a percutaneous tracheostomy horn (Cook Medical Blue Rhino(®)) to allow minimally traumatic submental intubation without the need for serial dilations...
April 30, 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/27130402/comparison-of-etview%C3%A2-tracheoscopic-ventilation-tube-and-video-assisted-fiberoptic-bronchoscopy-during-percutaneous-dilatational-tracheostomy
#18
Tarik Umutoglu, Mefkur Bakan, Ufuk Topuz, Sinan Yilmaz, Kadir Idin, Selcuk Alver, Erdogan Ozturk, Ziya Salihoglu
Fiberoptic bronchoscopy (FOB) via endotracheal tube (ETT) is the most frequent utilized technique for monitoring of percutaneous dilatational tracheostomy (PDT) procedure while maintaining mechanical ventilation. Endoscopic guidance has increased the safety of this procedure; nevertheless, the use of a bronchoscope via ETT potentially may deteriorate ventilation and lead to hypercarbia and/or hypoxia. EtView tracheoscopic ventilation tube (EtView TVT) is a standard endotracheal tube with a camera and light source embedded at the tip...
April 29, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27076734/inadvertent-migration-of-guidewire-into-murphy-s-eye-of-endotracheal-tube-during-percutaneous-dilatational-tracheostomy
#19
Binita Panigrahi, Devi Prasad Samaddar, Tushar Kumar
Percutaneous dilatational tracheostomy is a commonly performed bedside procedure in the Intensive Care Unit. Although serious and fatal complications have been reported, the procedure is by and large safe to perform in experienced hands. We report here an innocuous problem encountered twice. After the guidewire insertion and dilatation, subsequent railroading became difficult owing to migration of guidewire into the Murphy's eye of the endotracheal tube (ETT). Awareness about this possibility can avert inadvertent delays and complications during the procedure...
March 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27075530/complication-rates-of-open-surgical-versus-percutaneous-tracheostomy-in-critically-ill-patients
#20
Stephanie Johnson-Obaseki, Andrea Veljkovic, Hedyeh Javidnia
BACKGROUND: In the setting of critical care, the most common indications for tracheostomy include: prolonged intubation, to facilitate weaning from mechanical ventilation, and for pulmonary toileting. In this setting, tracheostomy can be performed either via open surgical or percutaneous technique. Advantages for percutaneous dilatational tracheostomy (PDT) include: simplicity, smaller incision, less tissue trauma, lower incidence of wound infection, lower incidence of peristomal bleeding, decreased morbidity from patient transfer, and cost-effectiveness...
November 2016: Laryngoscope
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