A new simple method for percutaneous tracheostomy: controlled rotating dilation

Abstract

The described new percutaneous dilational tracheostomy device (PercuTwist, Rüsch, Kernen, Germany) represents a single-step method with a high degree of control during dilation. So far, it appears to be a safe, quickly performed procedure with a strikingly low incidence of even small bleeding complications, thus offering an interesting new alternative for the performance of a percutaneous tracheostomy.

Traqueostomía percutánea con asistencia fibrobroncoscópica: Evaluación prospectiva de 100 casos consecutivos y revisión de la literatura

“…La TPC ha sido perfeccionada en forma considerable desde su introducción en los años 50'. Diferentes técnicas han sido descritas, con tasas de complicaciones variables según el método utilizado [20][21][22][23][24][25][26] .…”

Tracheostomy: Epidemiology, Indications, Timing, Technique, and OutcomesDiscussion

“…10). 53 A recent study compared percutaneous tracheostomy techniques (n ϭ 130) of PDT, the guide wire dilating forceps technique (Griggs) and the PercuTwist technique. The duration of the procedure was significantly shorter in the PercuTwist group compared with both other groups.…”

Percutaneous tracheostomy: a comprehensive review

“…Another technique was described by Fantoni et al, where after introduction of a guidewire in the anterior tracheal wall, the dilator and the tracheostomy tube are pulled through the larynx in a retrograde fashion (11). In percutwist technique, a screw like dilator is slowly introduced over a guidewire by rotating it clockwise to dilate the stoma (12). A balloon dilation technique was introduced in the US where instead of a tapering dilator, a balloon was introduced over the guidewire to dilate the stoma (13).…”