Atemwegsmanagement – Tracheotomie Revisited

Abstract

Since 5000 years tracheotomy is a common way for airway management. Generally, Tracheotomy will be divided in a surgical tracheotomy the percutaneous Tracheotomy. The surgical Tracheotomy takes place in the operation theater. The percutaneous Tracheotomy is one of the standard procedures in the Intensive care unit. There are many methods to perform the percutaneous Tracheotomy. The gist of every method is the seldinger procedure. Bronchoscopic supervision during the whole procedure is one of the most important things to prevent complications. However percutaneous and surgical tracheotomy are safe and have a low rate of complications.

Pilot Study of Trans-oral Robotic-Assisted Needle Direct Tracheostomy Puncture in Patients Requiring Prolonged Mechanical Ventilation

“…Tracheostomy, which creates an external opening to the trachea from the neck, is the most common surgical procedure performed in patients with respiratory diseases (e.g., needing prolonged mechanical ventilation (Hur et al, 2020;Mecham et al, 2020;Vargas et al, 2020). Other patients requiring this procedure frequently suffer from blockages in the upper airway, which may be due to the following reasons: subglottic stenosis, neck fractures, and presence of tumors in the head and neck (Gill-Schuster, 2016;Mieth et al, 2016). Other tracheostomy applications include helping comatose patients expel secretions from their upper respiratory tract or, in the long term, for patients with severe chronic conditions, such as obstructive sleep apnea (Fray et al, 2018).…”