Retrosternal Percutaneous Tracheostomy : An Approach for Predictably Impossible Classic Tracheostomy
Joint Authors
Szold, Oded
Biderman, Philippe
Raz, Eyal
Rafaeli, Yael
Porat, Eyal
Wiesel, Ory
Weinbroum, Avi A.
Source
Critical Care Research and Practice
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-04-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Percutaneous tracheostomy is a routine procedure in intensive care units.
In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic tracheostomy is inapplicable.
Retrosternal approach to tracheostomy in such 20 patients is herein reported.
After preoperative neck computerized tomography to define the neck anatomy, a small suprasternal incision followed by a short retrosternal tissue dissection to expose the trachea was done; the trachea was then catheterized at the level of the 2nd ring in the usual tracheostomy manner.
The immediate and late (≥6 months) outcomes were similar to that of the standard tracheostomy.
Thus, percutaneous retrosternal tracheostomy is safe in patients with abnormal positioning of the trachea or neck constitution.
It is a bedside applicable technique, that, however, requires caution to avoid hazardous vascular complications.
American Psychological Association (APA)
Biderman, Philippe& Weinbroum, Avi A.& Rafaeli, Yael& Raz, Eyal& Porat, Eyal& Wiesel, Ory…[et al.]. 2010. Retrosternal Percutaneous Tracheostomy : An Approach for Predictably Impossible Classic Tracheostomy. Critical Care Research and Practice،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-468922
Modern Language Association (MLA)
Biderman, Philippe…[et al.]. Retrosternal Percutaneous Tracheostomy : An Approach for Predictably Impossible Classic Tracheostomy. Critical Care Research and Practice No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-468922
American Medical Association (AMA)
Biderman, Philippe& Weinbroum, Avi A.& Rafaeli, Yael& Raz, Eyal& Porat, Eyal& Wiesel, Ory…[et al.]. Retrosternal Percutaneous Tracheostomy : An Approach for Predictably Impossible Classic Tracheostomy. Critical Care Research and Practice. 2010. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-468922
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-468922