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Original Article
- Surgery
- Feasibility of Percutaneous Dilatational Tracheostomy with a Light Source in the Surgical Intensive Care Unit
- Jong-Kwan Baek, Jung-Sun Lee, Minchang Kang, Nak-Jun Choi, Suk-Kyung Hong
- Acute Crit Care. 2018;33(2):89-94. Published online April 26, 2018
- DOI: https://doi.org/10.4266/acc.2017.00563
- 5,412 View
- 117 Download
- 3 Web of Science
- 3 Crossref
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Abstract
PDF - Background
Although percutaneous dilatational tracheostomy (PDT) under bronchoscopic guidance is feasible in the intensive care unit (ICU), it requires extensive equipment and specialists. The present study evaluated the feasibility of performing PDT with a light source in the surgical ICU.
Methods
The study involved a retrospective review of the outcomes of patients who underwent PDT with a light source performed by a surgery resident under the supervision of a surgical intensivist in the surgical ICU from October 2015 through September 2016. During the procedure, a light wand was inserted into the endotracheal tube after skin incision. Then, the light wand and the endotracheal tube were pulled out slightly, the passage of light through the airway was confirmed, and the relevant point was punctured.
Results
Fifty patients underwent PDT with a light source. The average procedural duration was 14.0 ± 7.0 minutes. There were no procedure-associated deaths. Intraoperative complications included minor bleeding in three patients (6%) and paratracheal placement of the tracheostomy tube in one patient (2%); these were immediately resolved by the surgical intensivist. Two patients required conversion to surgical tracheostomy because of the difficulty in light wand insertion into the endotracheal tube and a very narrow trachea, respectively.
Conclusions
PDT with a light source can be performed without bronchoscopy and does not require expensive equipment and specialist intervention in the surgical ICU. It can be safely performed by a surgical intensivist with experience in surgical tracheostomy. -
Citations
Citations to this article as recorded by
- Increasing the precision of simulated percutaneous dilatational tracheostomy—a pilot prototype device development study
Athia Haron, Lutong Li, Eryl A. Davies, Peter D.G. Alexander, Brendan A. McGrath, Glen Cooper, Andrew Weightman
iScience.2024; 27(3): 109098. CrossRef - The feasibility and safety of percutaneous dilatational tracheostomy without endotracheal guidance in the intensive care unit
Ji Eun Kim, Dong Hyun Lee
Acute and Critical Care.2022; 37(1): 101. CrossRef - Safety and feasibility of hybrid tracheostomy
Daeun Kang, In Beom Jeong, Sun Jung Kwon, Ji Woong Son, Gwan Woo Ku
Acute and Critical Care.2021; 36(4): 369. CrossRef
- Increasing the precision of simulated percutaneous dilatational tracheostomy—a pilot prototype device development study
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