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Related Experiment Videos

Repeat bedside percutaneous dilational tracheostomy is a safe procedure.

Marianne Meyer1, Jonathan Critchlow, Naresh Mansharamani

  • 1Pulmonary Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Critical Care Medicine
|May 15, 2002
PubMed
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Percutaneous dilational tracheostomy is safe for critically ill patients with prior tracheostomy. This procedure offers a viable alternative to surgical tracheostomy in this population.

Area of Science:

  • Critical Care Medicine
  • Pulmonology
  • Surgical Procedures

Background:

  • Previous tracheostomy was considered a relative contraindication for percutaneous dilational tracheostomy.
  • Repeat tracheostomy is sometimes necessary for prolonged mechanical ventilation.

Purpose of the Study:

  • To evaluate the safety and efficacy of percutaneous dilational tracheostomy (PDT) in patients with a history of prior tracheostomy.
  • To determine if PDT is a suitable alternative to surgical tracheostomy in this specific patient group.

Main Methods:

  • Retrospective case series of 14 critically ill patients requiring repeat tracheostomy.
  • All procedures were bedside percutaneous dilational tracheostomies performed by trained specialists.
  • Patients had prior tracheostomies ranging from 10 days to 8 years previously.

Related Experiment Videos

Main Results:

  • Successful percutaneous dilational tracheostomy in all 14 patients.
  • No significant periprocedural complications were observed.
  • One case of accidental decannulation managed with repeat PDT.

Conclusions:

  • Bedside percutaneous dilational tracheostomy is a safe procedure for patients with a history of prior tracheostomy.
  • Trained physicians can perform PDT effectively in this population.
  • PDT should be considered a valid alternative to surgical tracheostomy.