How to do a safe tracheostomy.

Abstract:

:A new technique of surgical tracheostomy is described. Prior to performing the tracheostomy, the endotracheal tube (ETT) is advanced further down the trachea so that the end of the tube is positioned just above the carina. Using the flexible endoscope within the ETT the positioning can be done with precision. This manoeuvre avoids the cuff of the ETT being perforated as it is well below the site of the tracheal window. Following the creation of an opening in the trachea, the patient continues to have a definitive airway. In this controlled environment, time is taken to obtain haemostasis at the tracheostomy site, place a rescue stitch and also suction above the cuff of the ETT. A study was carried out in a series of 15 patients by recording various measurements during the procedure to confirm the accuracy of this technique.

authors

Thiruchelvam JK,Cheng LH,Drewery H

doi

10.1016/j.ijom.2008.01.011

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

484-6

issue

5

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(08)00006-4

journal_volume

37

pub_type

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