[Tracheotomy-endoscop for dilatational percutaneous tracheotomy (TED)].

Area of Science:

• Medical Technology
• Minimally Invasive Procedures
• Intensive Care Medicine

Context:

• Percutaneous dilatational tracheostomy (PDT) is an evolving technique with emerging complications.
• Existing PDT methods present challenges in managing complications and ensuring patient safety.
• Over half of tracheotomized intensive care unit patients succumb to their primary illness.

Purpose:

• To introduce the Tracheotomy Endoscope (TED) as a novel device for percutaneous dilatational tracheostomy.
• To demonstrate how the TED mitigates serious complications associated with PDT.
• To enhance the safety and management of dilatational tracheotomies.

Summary:

• The Tracheotomy Endoscope (TED) is specifically designed for PDT, compatible with all current techniques.
• It is a seven-step procedure that prevents posterior tracheal wall injuries and facilitates control of mucosal bleeding.
• The TED enables secure reintubation during heavy bleeding and allows for rapid conversion to open surgery if needed.

Impact:

• Significantly reduces the risk of tracheoesophageal fistulas and pneumothorax during PDT.
• Improves management of bleeding and airway emergencies, enhancing patient safety.
• Fosters better collaboration between intensive care medicine and otorhinolaryngology, elevating PDT standards.