Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic TracheostomyReportar como inadecuado




Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Critical Care Research and PracticeVolume 2010 2010, Article ID 397270, 4 pages

Clinical Study

Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, Israel

Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv 69978, Israel

Post-Anesthesia Care Unit, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel

Department of Anesthesia, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, Israel

Surgical Intensive Care Unit and Department of Surgery “B”, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel

Received 19 August 2009; Accepted 16 December 2009

Academic Editor: Stephen M. Cohn

Copyright © 2010 Philippe Biderman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Percutaneous tracheostomy is a routine procedure in intensive careunits. In cases of very low position of the larynx, cervical spinedeformation, morbid obesity, or neck tumor, performance of theclassic tracheostomy is inapplicable. Retrosternal approach totracheostomy in such 20 patients is herein reported. Afterpreoperative neck computerized tomography to define the neckanatomy, a small suprasternal incision followed by a shortretrosternal tissue dissection to expose the trachea was done; thetrachea was then catheterized at the level of the 2nd ring in theusual tracheostomy manner. The immediate and late 6 months outcomes were similar to that of the standard tracheostomy. Thus,percutaneous retrosternal tracheostomy is safe in patients withabnormal positioning of the trachea or neck constitution. It is abedside applicable technique, that, however, requires caution toavoid hazardous vascular complications.





Autor: Philippe Biderman, Avi A. Weinbroum, Yael Rafaeli, Eyal Raz, Eyal Porat, Ory Wiesel, and Oded Szold

Fuente: https://www.hindawi.com/



DESCARGAR PDF




Documentos relacionados