PERCUTANEOUS DILATATION TRACHEOSTOMY: THE TECHNIQUE FROM THE ENT SURGEON'S PERSPECTIVE
Keywords:
percutaneous tracheostomy, surgical tracheostomy, technique
Abstract
The percutaneous dilatation tracheostomy (PDT) using the Seldinger technique was developed a few
decades ago and gained popularity. PDT has become a more convenient technique for intensive care
units (ICU) patients across the world. The present work aims to share our experience as ENT
surgeons in performing a percutaneous tracheostomy. A series of eight patients were included in the
study. ICU patients on mechanical ventilation more than 14 days were ideal candidates for PDT. The
invention of PDT had overcome many obstacles found in the surgical tracheostomy (ST) procedure.
PDT can be performed as a bedside procedure which saves both time and cost of operating theatres.
References
[1] EA Frost," Tracing the Tracheostomy", Ann Otol
Rhinol Laryngol, vol.85, pp. 618-24, 1976
[2] C Jackson," Tracheotomy", Laryngoscope, vol.9,
pp. 285-90, 1909.
[3] DJ Pierson, "Tracheostomy from A to Z: historical
context and current challenges", Respir Care, vol. 4,
pp. 473-5, 2005.
[4] GA Dempsey, CA Grant, TM Jones,
"Percutaneous tracheostomy: a 6-year prospective
evaluation of the single tapered dilator technique", Br
J Anaesth, vol. 6, pp. 782-8, 2010.
[5] MT Voelker, M Wiechmann, A Dietz, S Laudi, S
Bercker, "Two-year follow-up after percutaneous
dilatational tracheostomy in a surgical ICU", Respir
Care, vol. 7, pp. 963-9, 2017.
[6] BD Freeman, K Isabella, N Lin, TG Buchman, "A
meta-analysis of prospective trials comparing
percutaneous and surgical tracheostomy in critically
ill patients", Chest vol. 5, pp. 1412-8, 2000.
[7] C Putensen, N Theuerkauf, U Guenther, M
Vargas, P Pelosi, "Percutaneous and surgical
tracheostomy in critically ill adult patients: a metaanalysis", Crit Care vol.6, pp. 544-7, 2014.
[8] ER Oliver, A Gist, MB Gillespie, "Percutaneous
versus surgical tracheostomy: an updated metaanalysis", Laryngoscope, vol. 9, pp. 1570-5, 2007.
[9] D Kilic, A Findikcioglu, S Akin, O Korun, A
Aribogan, A Hatiboglu, "When is surgical
tracheostomy indicated? Surgical “U-shaped” versus
percutaneous tracheostomy", Ann Thorac Cardiovasc
Surg, vol. 1, pp. 29–32, 2011.
[10] M Pauliny, E Christova, J Mackova, M Liska,"
Percutaneous dilation tracheostomy versus surgical
tracheostomy in critically ill patients", Bratisl Lek
Listy, vol. 7, pp. 409-11, 2012.
[11] KM Higgins, X Punthakee, "Meta-analysis
comparison of open versus percutaneous
tracheostomy", Laryngoscope, vol. 3, pp. 447-54,
2007
[12] TE Christenson, GJ Artz, JE Goldhammer, JR
Spiegel, MS Boon," Tracheal stenosis after placement
of percutaneous dilatational tracheotomy",
Laryngoscope, vol. 2, pp. 222-7, 2008.
[13] P Lebiedz, A Suca, E Gumus, RM Radke, E
Kaya, E Hilker," 7-Year Survey After Percutaneous
Dilatational Tracheotomy on a Medical Intensive
Care Unit", J Investig Med, vol. 8, pp. 977-81, 2010.
Rhinol Laryngol, vol.85, pp. 618-24, 1976
[2] C Jackson," Tracheotomy", Laryngoscope, vol.9,
pp. 285-90, 1909.
[3] DJ Pierson, "Tracheostomy from A to Z: historical
context and current challenges", Respir Care, vol. 4,
pp. 473-5, 2005.
[4] GA Dempsey, CA Grant, TM Jones,
"Percutaneous tracheostomy: a 6-year prospective
evaluation of the single tapered dilator technique", Br
J Anaesth, vol. 6, pp. 782-8, 2010.
[5] MT Voelker, M Wiechmann, A Dietz, S Laudi, S
Bercker, "Two-year follow-up after percutaneous
dilatational tracheostomy in a surgical ICU", Respir
Care, vol. 7, pp. 963-9, 2017.
[6] BD Freeman, K Isabella, N Lin, TG Buchman, "A
meta-analysis of prospective trials comparing
percutaneous and surgical tracheostomy in critically
ill patients", Chest vol. 5, pp. 1412-8, 2000.
[7] C Putensen, N Theuerkauf, U Guenther, M
Vargas, P Pelosi, "Percutaneous and surgical
tracheostomy in critically ill adult patients: a metaanalysis", Crit Care vol.6, pp. 544-7, 2014.
[8] ER Oliver, A Gist, MB Gillespie, "Percutaneous
versus surgical tracheostomy: an updated metaanalysis", Laryngoscope, vol. 9, pp. 1570-5, 2007.
[9] D Kilic, A Findikcioglu, S Akin, O Korun, A
Aribogan, A Hatiboglu, "When is surgical
tracheostomy indicated? Surgical “U-shaped” versus
percutaneous tracheostomy", Ann Thorac Cardiovasc
Surg, vol. 1, pp. 29–32, 2011.
[10] M Pauliny, E Christova, J Mackova, M Liska,"
Percutaneous dilation tracheostomy versus surgical
tracheostomy in critically ill patients", Bratisl Lek
Listy, vol. 7, pp. 409-11, 2012.
[11] KM Higgins, X Punthakee, "Meta-analysis
comparison of open versus percutaneous
tracheostomy", Laryngoscope, vol. 3, pp. 447-54,
2007
[12] TE Christenson, GJ Artz, JE Goldhammer, JR
Spiegel, MS Boon," Tracheal stenosis after placement
of percutaneous dilatational tracheotomy",
Laryngoscope, vol. 2, pp. 222-7, 2008.
[13] P Lebiedz, A Suca, E Gumus, RM Radke, E
Kaya, E Hilker," 7-Year Survey After Percutaneous
Dilatational Tracheotomy on a Medical Intensive
Care Unit", J Investig Med, vol. 8, pp. 977-81, 2010.
Published
2020-09-01
How to Cite
[1]
M. Zahran and O. Ahmed, “PERCUTANEOUS DILATATION TRACHEOSTOMY: THE TECHNIQUE FROM THE ENT SURGEON’S PERSPECTIVE”, JSS, vol. 7, no. 2, pp. 58-61, Sep. 2020.
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