Evaluation of tracheal incisions for tracheostomy

Bryant, Lester R.; Mujia, Duvan; Greenberg, Stuart A.; Huey, J. M.; Schechter, Frederick G.; Albert, Harold M.

doi:10.1016/0002-9610(78)90134-4

Cited by 32 publications

(10 citation statements)

References 4 publications

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“…5,9 Regardless of the method of initial tracheal opening, eventually a circular tracheal defect may result due to circumferential pressure on the tracheal cartilage from the tracheotomy tube. 7 In our institution(s) the tracheotomy punch is included in all operative tracheotomy sets. It is used in all adult tracheotomies performed by the senior authors (DG, DWE).…”

Section: Resultsmentioning

confidence: 99%

The Tracheotomy Punch for Urgent Tracheotomy

2010

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Tracheotomy is a commonly performed surgical technique used for long-term mechanical ventilation, upper airway obstruction, need for pulmonary toilet, and as an adjunct to surgery where ventilation is anticipated. Urgent tracheotomy may be performed when difficulty is encountered during an elective tracheotomy, or when cricothyroidotomy is impossible or contraindicated due to distorted anatomy or laryngeal obstruction. Various methods of creating a tracheal opening have been described and each of these methods has technical advantages and disadvantages. In the urgent setting, a rapid and technically simple approach is needed for optimal results. We have used the Eisele tracheotomy punch (Pilling, Teleflex Medical, Research Triangle Park, NC) for all tracheotomies, both elective and urgent. In this report we describe five illustrative cases in which the tracheotomy punch was used successfully in the urgent setting to ensure rapid airway access.

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Section: Resultsmentioning

confidence: 99%

The Tracheotomy Punch for Urgent Tracheotomy

2010

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“…Excision of a cartilage window which was associated with greater risk of airway stenosis was replaced with a vertical midline incision to trachea [14]. Moreover, percutaneous tracheotomy has emerged as an alternative to traditional tracheotomy.…”

Section: Discussionmentioning

confidence: 99%

Pediatric tracheotomies: A 37-year experience in 282 children

Özmen¹,

Özmen

Ünal

2009

International Journal of Pediatric Otorhinolaryngology

128

127

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“…In addition, the biological time of rats, as equivalent to that of human, would be of 1 day/30 days, which results in a very appropriate animal for long-term studies. 15,16 In order to prevent respiratory epithelium abnormalities in rats with the use of an inhalation anesthetic, we decided to use injected drugs, which enable 2-4-hr anesthetic plans. 17 The knowledge of rat trachea anatomy facilitated the production of a tracheotomy cannula in silicone to be used in the experiment, with an external diameter that provided air passage around it, up to the lungs, preventing and avoiding respiratory distress during the early postoperative period of the animal.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical tracheotomy: A pediatric model in growing rats

et al. 2003

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Previous studies described controversial opinions about pediatric tracheotomy concerning type of tracheal incision and long-term results, which remain as important research subjects. Experimental studies on rat tracheas are scarce, probably because of technical difficulties related to the structures' small dimensions. As many rat organ and system operative procedures were studied successfully by using microsurgical techniques, we decided to develop a pediatric tracheotomy model in growing rats which would permit long-term studies. Forty-four Wistar EPM-1 growing rats weighing 86 g and aged 35 days were divided into three groups: submitted to longitudinal, transverse, and segment excision of the trachea. Under sterile technique and intramuscular anesthesia (ketamine/xylazine), the trachea was exposed and incised, according to group, and a hand-made endotracheal cannula was inserted into the organ. This cannula was assembled using a segment of 1.5-cm-long 3 French silicone catheter passed through hexagonal-shaped silicone screen. The tracheal cannula was removed after 7 days, when we evaluated body weight, secretions, and dehiscence. In conclusion, this microsurgical tracheotomy model in growing rats is feasible, allowing studies on long-term repercussions of pediatric tracheotomy.

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Evaluation of tracheal incisions for tracheostomy

Cited by 32 publications

References 4 publications

The Tracheotomy Punch for Urgent Tracheotomy

The Tracheotomy Punch for Urgent Tracheotomy

Pediatric tracheotomies: A 37-year experience in 282 children

Microsurgical tracheotomy: A pediatric model in growing rats

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