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A technical modification for percutaneous tracheostomy: prospective case series study on one hundred patients
Joao B Rezende-Neto1, Argenil J Oliveira, Mario P Neto
1Universidade Federal de Minas Gerais and Risoleta Tolentino Neves Hospital, Brazil. jbrezende.ufmg@gmail.com.
World Journal of Emergency Surgery : WJES
|November 4, 2011
Summary
This study presents a new percutaneous tracheostomy technique, combining existing methods into a reusable kit. The modified procedure proved safe and effective in 100 patients, with no major complications.
Area of Science:
- Medical Devices
- Surgical Procedures
- Respiratory Medicine
Background:
- Percutaneous tracheostomy is a common procedure for airway management.
- Existing techniques like Percu Twist™ and Griggs-Portex® have their own advantages and limitations.
- A need exists for improved, simplified, and reusable methods for percutaneous tracheostomy.
Purpose of the Study:
- To describe a novel technical modification of percutaneous tracheostomy.
- To integrate principles from the Percu Twist™ and Griggs-Portex® methods.
- To introduce a reusable kit for the modified percutaneous tracheostomy procedure.
Main Methods:
- A technical modification combining Percu Twist™ and Griggs-Portex® principles was developed.
- A reusable kit was designed for the modified procedure.
- The technique was performed on 100 patients.
Main Results:
- The modified percutaneous tracheostomy procedure was successfully performed in all 100 patients.
- No instances of false passage or tube misplacement were recorded.
- Two cases of minor bleeding occurred, managed conservatively.
- No procedure-related deaths were reported.
Conclusions:
- The described technical modification for percutaneous tracheostomy is safe.
- The modified technique is simple to execute.
- The use of a reusable kit offers potential benefits for efficiency and cost-effectiveness.
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