Percutaneous Tracheostomy: Pearls and Pitfalls, and How to Create a “Hand-On” Training Program Course

Nakai, Marianne Yumi; Menezes, Marcelo Benedito; Kavabata, Norberto Kodi; Suehara, Alexandre Babá; Bertelli, Antônio Augusto Tupinambá; Kikuchi, William; Gonçalves, Antônio José

doi:10.1007/978-3-319-67867-2_6

Cited by 2 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Technological evolution has been able to transform the tracheostomy, formerly feared and prohibited 1 , into a procedure performed with a percutaneous technique outside the operating room environment. Despite being an elective procedure, with low complication rates 2,3 , the technique involves handling the airway of a critical patient, and failures in this management can be fatal 4 . However, there are no well-defined indicators of technical difficulty for the performance of PDT.…”

Section: Introductionmentioning

confidence: 99%

“…Although the occurrence of complications related to PDT is uncommon 4 , significant adverse events are described, mainly related to injuries in structures adjacent to the trachea, such as the vascular network, with consequent hemorrhage or failure to insert the tracheal cannula 5 , with impaired patient ventilation.…”

Section: Introductionmentioning

confidence: 99%

“…

Preditores de dificuldade em traqueostomia percutânea à beira do leito: estudo pilotoSeveral factors, mainly anatomical, can cause difficulties, such as kyphosis, scoliosis, tracheomalacia, tracheal calcification, anatomical variations, airway deviations for various reasons, obesity, among others 4,8 . Based

…”

mentioning

confidence: 99%

See 2 more Smart Citations

Predictors of difficulty in bedside percutaneous dilatational tracheostomy: pilot study

Tenório¹,

Nakai²,

Moraes

et al. 2020

Rev. Col. Bras. Cir.

Self Cite

View full text Add to dashboard Cite

Introduction: percutaneous dilatational tracheostomy is currently one of the main procedures performed in an intensive care unit (ICU). However, there are no well-defined indicators of technical difficulty in performing the procedure. Objectives: to define predictors of difficulty in performing bedside percutaneous dilatational tracheostomy. Methodology: prospective cohort study encompassing 21 patients who underwent bedside percutaneous dilatational tracheostomy in the ICU at a single center. Results: Sternohyoid (SH) distance shorter than 7 cm is associated with a 50% increase in the risk of technical difficulty (OR 0.44 and p <0.03). Conclusion: the reduction in (SH) distance is related to an increased risk of difficulty in performing percutaneous dilatational tracheostomy in the ICU bed.

show abstract