TY - JOUR
T1 - Percutaneous Dilatational Tracheostomy Using Tube Exchanger
AU - Ronen, Ohad
AU - Gurevich, Alexander
AU - Ivry, Shimon
AU - Altman, Edward
AU - Kukuev, Evgeni
N1 - Publisher Copyright:
Copyright © 2018 International Anesthesia Research Society
PY - 2019/8
Y1 - 2019/8
N2 - We describe a modified technique for percutaneous dilatational tracheostomy using a 15F tube exchanger or Eschmann catheter. A retrospective review of 1180 procedures using this modified technique demonstrated it to be effective with a failure rate of only 0.25% (3 patients). Moreover, it provides an additional safeguard with the ability to rapidly reintroduce the endotracheal tube into the trachea guided by the exchange catheter in the event of accidental extubation during the procedure. This technique needs no additional special devices or equipment (eg, a bronchoscope). However, a prospective study is needed to better define its complication rate.
AB - We describe a modified technique for percutaneous dilatational tracheostomy using a 15F tube exchanger or Eschmann catheter. A retrospective review of 1180 procedures using this modified technique demonstrated it to be effective with a failure rate of only 0.25% (3 patients). Moreover, it provides an additional safeguard with the ability to rapidly reintroduce the endotracheal tube into the trachea guided by the exchange catheter in the event of accidental extubation during the procedure. This technique needs no additional special devices or equipment (eg, a bronchoscope). However, a prospective study is needed to better define its complication rate.
UR - http://www.scopus.com/inward/record.url?scp=85069989537&partnerID=8YFLogxK
U2 - 10.1213/ANE.0000000000003321
DO - 10.1213/ANE.0000000000003321
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C2 - 29543641
AN - SCOPUS:85069989537
SN - 0003-2999
VL - 129
SP - E45-E47
JO - Anesthesia and Analgesia
JF - Anesthesia and Analgesia
IS - 2
ER -