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[Percutaneous dilational tracheostomy].

Zhen Zhong1, Shui-fang Xiao, Hong Shen

  • 1Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing, China.

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|July 20, 2006
PubMed
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A new rotating dilation technique for percutaneous dilational tracheostomy (PDT) is simple, rapid, and safe. This bronchoscope-free method can be performed at the bedside with minimal complications.

Area of Science:

  • Medical Procedures
  • Surgical Techniques
  • Respiratory Care

Background:

  • Percutaneous dilational tracheostomy (PDT) is a common procedure.
  • Bronchoscopic guidance is often used during PDT.
  • Alternative techniques are being explored to simplify the procedure.

Purpose of the Study:

  • To introduce and evaluate a novel technique for percutaneous dilational tracheostomy.
  • To assess the safety and efficacy of a bronchoscope-free PDT method.

Main Methods:

  • A prospective study of ten patients undergoing rotating dilation tracheostomy using the percutwist set.
  • Evaluation of procedure time, difficulty, bleeding, and complications.
  • All procedures were performed without bronchoscopic assistance.

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Main Results:

  • The mean operating time was 6.2 minutes (range: 3-10 minutes).
  • Eight procedures were uneventful; two had manageable difficulties.
  • No life-threatening complications occurred; minor issues included peristomal bleeding and mild infection.

Conclusions:

  • Controlled rotating dilation is a safe, rapid, and simple bedside procedure for PDT.
  • The technique can be safely performed without bronchoscopic guidance when precautions are taken.