Percutaneous tracheotomy: Griggs technique

Park, Sunny S.; Goldenberg, David

doi:10.1016/j.otot.2007.05.004

Cited by 17 publications

(5 citation statements)

References 17 publications

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“…Investigators who forgo bronchoscopy during percutaneous tracheostomy usually implement additional measures to compensate for the lack of intraluminal visualization of the trachea [ 12 , 18 , 37 - 39 , 41 - 44 ]. For example, dissection of the subcutaneous tissue down to the pre-tracheal fascia prior to tracheal puncture, palpation of the trachea through the incision during endotracheal tube positioning and tracheal puncture, verification of free mobility of the guidewire throughout the procedure, and capnography assessed at the puncture site [ 12 , 18 , 37 - 39 , 41 - 44 ]. Additionally, ultrasound has become an increasingly used adjunct to percutaneous tracheostomy when bronchoscopy is not available, particularly in obese patients.…”

Section: Discussionmentioning

confidence: 99%

A technical modification for percutaneous tracheostomy: prospective case series study on one hundred patients

et al. 2011

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The purpose of this study is to describe a technical modification of percutaneous tracheostomy that combines principles of the Percu Twist™ and the Griggs-Portex® methods in a reusable kit. One hundred patients underwent the procedure. There were no false passage, tube misplacement, or deaths related to the procedure. There were two minor bleedings managed conservatively. The technical modification described in this study is safe and simple to execute.

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Section: Discussionmentioning

confidence: 99%

A technical modification for percutaneous tracheostomy: prospective case series study on one hundred patients

et al. 2011

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“…In 1989 Schachner et al17 described the Rapitrac (SurgiTech Medical, Sydney, Australia), a dilating forceps device with a beveled metal cone that was designed to advance forcibly over a wire into the airway. In 1990 Griggs et al reported on the guide wire dilator forceps technique 18, 19…”

Section: Discussionmentioning

confidence: 99%

Percutaneous tracheotomy in otolaryngology–head and neck surgery residency training programs

2009

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“…Es más, un trabajo realizado el 2003 no logró demostrar cambios en el nivel de aspiración con el balón inflado versus desinflado (26) . decanUlación Las indicaciones de traqueostomía más importantes pueden dividirse básicamente en tres: obstrucción de la vía aérea alta, necesidad de ventilación mecánica (VM) prolongada y para facilitar el manejo de secreciones broncopulmonares (27) .…”

Section: Traqueostomía Y Degluciónunclassified

Evaluación otorrinolaringológica para decanulación y de la deglución en el paciente traqueostomizado no-neurocrítico en cuidados intensivos

Alvo V.,

Olavarría L.

2013

Rev. Hosp. Clín. Univ. Chile (En línea)

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On intensive care patients, decannulation and deglutition disorders are frequent reasons for otorhinolaryngologic assessment. The objective of a tracheostomy is to maintain a patent airway. It does not necessarily prevent episodes of aspiration and may even favor them. When the condition leading to the tracheostomy resolves, a decannulation may be proposed. Deglutition is a complex act that involves the coordinated interaction of several structures of the aerodigestive tract. Fiber-optic endoscopy and videofluoroscopy are two useful and complementary tools for the evaluation of patients with swallowing disorders. When managing these patients, a thorough knowledge on laryngeal and swallowing physiology, and on the different therapeutic alternatives, is required. Although it is not uncommon that swallowing disorders coexist in tracheostomized patients, decannulation is not synonymous with evaluation of deglutition. A patient could be a candidate for decannulation having a swallowing disorder, or a trachostomized patient could swallow adequately. Knowing and understanding these concepts will lead to a more efficient management, and helps to clarify the communication between the intensivist and the otorhinolaryngologist. Ideally, a multidisciplinary team should be formed to evaluate and manage these patients.

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Percutaneous tracheotomy: Griggs technique

Cited by 17 publications

References 17 publications

A technical modification for percutaneous tracheostomy: prospective case series study on one hundred patients

A technical modification for percutaneous tracheostomy: prospective case series study on one hundred patients

Percutaneous tracheotomy in otolaryngology–head and neck surgery residency training programs

Evaluación otorrinolaringológica para decanulación y de la deglución en el paciente traqueostomizado no-neurocrítico en cuidados intensivos

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