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Published on: March 15, 2024
Successful percutaneous tracheostomy via puncture through the thyroid isthmus
Chi-Wei Duann1, Min-Shiau Hsieh2, Pin-Tarng Chen3
1Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital Taipei, Taiwan.
Abstract:
Tracheostomy is one of the most frequently performed procedures in intensive care units. Bedside percutaneous tracheostomy has become an increasingly popular option to standard open tracheostomy. Several contraindications for percutaneous tracheostomy, including an enlarged thyroid isthmus, have been described. However, as experience with this technique has increased, most of the described contraindications appear to be relative rather than absolute, provided the procedure is performed by an experienced practitioner. Herein we present a case of an unavoidable direct puncture of the thyroid isthmus during a percutaneous tracheostomy. The procedure was performed smoothly, and no complications occurred.
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