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Updated: Nov 28, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Per-cutaneous dilatation tracheostomy (PCTD) in COVID-19 patients and peri-tracheostomy care: A case series and
Ehtesham Khan1, Shankar Lal2, Junaid Hashmi3
1Dr. Ehtesham Khan, CAI MSc, FCPS, FCARCSI, FJFI CMI, EDIC, DMMD, Dip Pain RCSI. Department of Anaesthesia and Critical Care Medicine, Our Lady of Lourdes Hospital, Drogheda, Ireland.
Background & Objective:
COVID 19 patients with severe respiratory failure may require prolonged mechanical ventilation. Placement of a tracheostomy tube often becomes necessary for such patients. The steps of tracheostomy procedure and post tracheostomy care of these patients can be classified as aerosol generating. We wish to highlight our modified technique to address these issues.
Methodology:
We performed percutaneous dilation tracheostomy in three clinically challenging COVID-19 patients in our ICU and developed guidelines aiming to minimise aerosolisation during and after the tracheostomy procedure to safeguard healthcare workers.
Results:
Percutaneous tracheostomy was performed by a team of three experienced anaesthetists and an ICU nurse.
Conclusion:
The decision of surgical or percutaneous tracheostomy should be dependent on the experience of the tracheostomy performer, health-care worker safety, resource availability, and patient-centred care. We believe our modified strategic approach of brief bronchoscopy, minimum PEEP and gas flows and step-wise planned approach for PCDT offers an extra level of safety to healthcare workers.
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