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Updated: Jul 14, 2026
04:43
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Percutaneous dilation tracheotomy in intensive care unit patients.
Nasir Bhatti1, Arzu Tatlipinar, Marek Mirski
1Department of Ototolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Summary
Percutaneous dilation tracheotomy (PDT) is a safe bedside procedure for intensive care unit (ICU) patients needing prolonged mechanical ventilation. This study found PDT to be advantageous with a low complication rate in ICU settings.
Area of Science:
- Critical Care Medicine
- Pulmonology
- Surgical Procedures
Background:
- Percutaneous dilation tracheotomy (PDT) is frequently employed for prolonged mechanical ventilation in intensive care unit (ICU) patients.
- The bedside application of PDT in the ICU setting offers distinct advantages.
Purpose of the Study:
- To present the institutional experience with PDT in select ICU patients.
- To discuss the advantages and disadvantages of PDT within the intensive care environment.
Main Methods:
- A retrospective analysis of consecutive PDT procedures performed between 2002 and 2004.
- Data collection included patient demographics, procedural details, and postoperative complications.
Main Results:
- A total of 274 PDTs were performed on ICU patients.
- Complications were infrequent, including excessive intraoperative bleeding (1.8%), postoperative hemorrhage (0.3%), tracheoesophageal fistula (0.3%), pneumothorax (0.3%), and accidental decannulations (1.4%).
- No procedure-related deaths were reported.
Conclusions:
- PDT is a beneficial bedside procedure for ICU patients requiring extended mechanical ventilation.
- The technique is deemed suitable for a significant proportion of critical care patients, though not universally applicable.
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