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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Safe Percutaneous Dilatational Tracheostomy Using a Pre-Measured Light-Guided Endotracheal Tube Withdrawal Technique:
Yuya Aoki1, Masaki Kono1, Takuo Yoshida1
1Division of Intensive Care, Department of Emergency and Disaster Medicine Kashiwa Hospital, the Jikei University School of Medicine Kashiwa Chiba Japan.
Abstract:
Percutaneous dilatational tracheostomy (PDT) is a bedside procedure for patients requiring prolonged mechanical ventilation. Although its overall safety is comparable to that of surgical tracheostomy, complications related to endotracheal tube (ETT) manipulation remain a concern. In this report, we describe a simple, reproducible two-step approach for ETT repositioning during PDT that (1) pre-measures an individualized withdrawal distance using bronchoscopic illumination and (2) confirms final positioning in real time by transillumination at the incision site in a patient requiring tracheostomy after prolonged mechanical ventilation. The procedure was completed within 20 min without complications. This technique may facilitate safer ETT repositioning during PDT.
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