Chest
Selected ReportsComplications of Percutaneous Tracheostomy
Section snippets
Case 1
A 33-year-old immunocompetent female patient was hospitalized in the emergency department after the rupture of an intracerebral angioma. Percutaneous tracheostomy was performed at 14 days. The endoscopy performed 9 days later showed no abnormality in the trachea. At 30 days, glottic edema developed, but it was difficult to assess the portion below the tracheal tube because the patient was agitated. Extubation was considered at 40 days, as the patient's neurologic and respiratory condition had
Discussion
Percutaneous tracheostomy is a technique that seems to be simple to perform and causes fewer complications than conventional tracheostomy. Two techniques are proposed: the Ciaglia method,1 with gradual dilatation of the trachea after puncture (which seems to be the most reliable method); and the less frequently used Fantoni method,2 a translaryngeal method where the tube is placed, through the vocal cords, on the anterior side of the trachea. In our hospital, the ICU department uses the Ciaglia
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Chest
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Chest
(1992) Translaryngeal tracheostomie
Cited by (27)
Tracheostomy Update: When and How
2017, Critical Care ClinicsCitation Excerpt :Longitudinal follow-up suggests that incidence of delayed complications, such as clinically significant tracheal stenosis, are similar comparing these techniques.45,52,53,67 Despite these potential advantages, PDT has been associated with a significant number of highly morbid complications, many of which, such as tracheal laceration, aortic injury, and esophageal perforation, are unusual after surgical tracheostomies.68–78 Owing to these attributes as well as to the ease of this technique, which enables individuals who have not received in-depth surgical training to become facile in its use, PDT has gained wide acceptance and has become the predominate method of tracheostomy placement in many centers.68,69,79–81
"Corkscrew stenosis": Defining and preventing a complication of percutaneous dilatational tracheostomy
2013, Journal of Thoracic and Cardiovascular SurgeryTracheotomy
2010, Medical Management of the Thoracic Surgery PatientTracheotomy
2009, Medical Management of the Thoracic Surgery PatientLong-term complications of artificial airways
2003, Clinics in Chest Medicine