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Mediastinitis after percutaneous dilatational tracheostomy
K Maeda1, M Ninomiya, T Moyairi
1Department of Cardiothoracic Surgery, University of Tokyo, Hospital 7-3-1 Hongo, Tokyo, Japan.
The Thoracic and Cardiovascular Surgeon
|May 1, 2002
Abstract:
In our experience, PDT after total arch replacement, especially after dissection of neck vessels, should be approached with caution. A long skin incision that allows discharge to drain from the wound and a sufficiently long postoperative tracheostomy period to allow tissue healing in the neck are necessary for prevention of mediastinitis.