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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Tracheostomy: Procedure and Tubes01:28

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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Tracheostomy Suctioning II: Procedure01:23

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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
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Tracheostomy Care II: Procedure01:25

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
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Endotracheal Intubation I: Procedure01:15

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Comparison of Effects of Postextubation Noninvasive Ventilation with Passive Humidification and High-flow Nasal Cannula in Patients with High Risk of Extubation Failure: A Randomized Comparative Study.

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine·2026
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Modified Technique of Percutaneous Tracheostomy Using Borescope Camera: A Case Series.

Mohd Mustahsin1, Amit Srivastava1, Jay Manchanda2

  • 1Department of Anesthesiology and Critical Care, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|March 3, 2023
PubMed
Summary

A novel borescope camera offers a cost-effective and accessible alternative to bronchoscopy for percutaneous dilatational tracheostomy (PDT). This method allows continuous ventilation and expert remote guidance, improving safety and availability in intensive care units.

Keywords:
BronchoscopyHypercapniaHypoxiaPercutaneous dilatational tracheostomy

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Area of Science:

  • Medical Devices
  • Intensive Care Medicine
  • Surgical Techniques

Background:

  • Percutaneous dilatational tracheostomy (PDT) is a common intensive care unit (ICU) procedure.
  • Bronchoscopy guidance for PDT requires specialized expertise and equipment, which are not universally available.
  • Current bronchoscopy methods can cause complications like carbon dioxide retention and hypoxia.

Purpose of the Study:

  • To introduce and evaluate a modified technique for PDT using a borescope camera.
  • To assess the feasibility of using a borescope camera as an alternative to bronchoscopy for PDT.
  • To demonstrate the potential of real-time remote guidance during PDT procedures.

Main Methods:

  • A waterproof 4 mm borescope examination camera was utilized in place of a traditional bronchoscope.
  • The borescope allowed continuous ventilation and real-time visualization of the tracheal lumen on smartphones or tablets.
  • Wireless transmission of images enabled remote monitoring and guidance by experts.

Main Results:

  • Successful implementation of the borescope camera during percutaneous dilatational tracheostomy procedures.
  • Continuous ventilation was maintained throughout the procedure.
  • Real-time imaging facilitated effective monitoring and guidance.

Conclusions:

  • The borescope camera serves as a viable, accessible, and cost-effective alternative to bronchoscopy for PDT.
  • This technique overcomes limitations associated with traditional bronchoscopy, enhancing safety and availability.
  • The use of borescope cameras with remote guidance shows promise for improving PDT procedures in ICUs.