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Real-Time Ultrasound Guided the New Standard Technique for Percutaneous Dilatational Tracheostomy (PDT).

Ziyaeifard M, Totonchi Z - Anesth Pain Med (2015)

View Article: PubMed Central - PubMed

Affiliation: Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences , Tehran, Iran.

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Several studies demonstrated that percutaneous dilatational tracheostomy (PDT) is a safe, easy, low-cost and minimally-invasive bedside method with numerous known advantages more than surgical tracheostomy such as fewer adjacent tissue injury, lesser bleeding risk, wound infectivity (morbidity) and mortality... Therefore, patients with spinal cord or head damage may weakly tolerate this method... Recently, portable ultrasonography is used in these cases for pre-intubation evaluation of upper airway, post-intubation confirmation of endo-tracheal tube position, and extubation tracheal tube result... However, there is limited information and observational study data that supports the efficacy and safety of ultrasonography guided of PDT... Ultrasonography has numerous advantages... It is individually portable, reliable, safe, pain-free, low-cost and simply available... Real- time ultrasound guided PDT preserves as a safe and cost-effective bedside method for superior use in critical ill patients, particularly in patients with morbid obesity and spinal damage... Michigan researchers have shown that this technique can reduce the rate of major complications... Some studies showed that the complications are 10 times less in patients who received ultrasonography guided PDT comparing with patients that had conventional procedure approach (Box 1)... Nasir Bhatti, MD (director of adult Tracheostomy and Airway Service in the Hospital affiliated to Johns Hopkins University, Baltimore, USA) supported the use of ultrasound guided PDT by non-surgeons; including pulmonologists and intensivists performing arts of PDTs... Ultrasound guided PDT facilitate clinicians to preserve adjacent structures r; demonstrate the guide wire location and the correct level of cannula... It also enables clinicians to assess the space between the anterior tracheal wall and the skin, to evaluate extends length of tube, and suitably put the endo-tracheal tube in the correct position.

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Related in: MedlinePlus

View of the Position of the Probe and Corresponding Ultrasound scan in a Longitudinal Axis With the Probe placed in Neck anteriorThis figure shows Thyroid cartilage (1), Cricoid cartilage (2), second tracheal cartilage ring (3), and the echogenic line is consistent with an air-tissue interface at the anterior tracheal wall. The cartilages are echolucent. Location of needle insertion is between first and second cartilage ring.
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fig20205: View of the Position of the Probe and Corresponding Ultrasound scan in a Longitudinal Axis With the Probe placed in Neck anteriorThis figure shows Thyroid cartilage (1), Cricoid cartilage (2), second tracheal cartilage ring (3), and the echogenic line is consistent with an air-tissue interface at the anterior tracheal wall. The cartilages are echolucent. Location of needle insertion is between first and second cartilage ring.

Mentions: Ultrasonography has numerous advantages. It is individually portable, reliable, safe, pain-free, low-cost and simply available (7). Portable and real-time ultrasound has further advantage for facilitating the clinicians toward identifying the needle passageway by presentation dislocation of tissues in front of the needle (6, 8) (Figure 1). Sharp groove in anterior tracheal wall with incursion of needle and following flattening might be more visible by this procedure (5).


Real-Time Ultrasound Guided the New Standard Technique for Percutaneous Dilatational Tracheostomy (PDT).

Ziyaeifard M, Totonchi Z - Anesth Pain Med (2015)

View of the Position of the Probe and Corresponding Ultrasound scan in a Longitudinal Axis With the Probe placed in Neck anteriorThis figure shows Thyroid cartilage (1), Cricoid cartilage (2), second tracheal cartilage ring (3), and the echogenic line is consistent with an air-tissue interface at the anterior tracheal wall. The cartilages are echolucent. Location of needle insertion is between first and second cartilage ring.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493727&req=5

fig20205: View of the Position of the Probe and Corresponding Ultrasound scan in a Longitudinal Axis With the Probe placed in Neck anteriorThis figure shows Thyroid cartilage (1), Cricoid cartilage (2), second tracheal cartilage ring (3), and the echogenic line is consistent with an air-tissue interface at the anterior tracheal wall. The cartilages are echolucent. Location of needle insertion is between first and second cartilage ring.
Mentions: Ultrasonography has numerous advantages. It is individually portable, reliable, safe, pain-free, low-cost and simply available (7). Portable and real-time ultrasound has further advantage for facilitating the clinicians toward identifying the needle passageway by presentation dislocation of tissues in front of the needle (6, 8) (Figure 1). Sharp groove in anterior tracheal wall with incursion of needle and following flattening might be more visible by this procedure (5).

View Article: PubMed Central - PubMed

Affiliation: Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences , Tehran, Iran.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Several studies demonstrated that percutaneous dilatational tracheostomy (PDT) is a safe, easy, low-cost and minimally-invasive bedside method with numerous known advantages more than surgical tracheostomy such as fewer adjacent tissue injury, lesser bleeding risk, wound infectivity (morbidity) and mortality... Therefore, patients with spinal cord or head damage may weakly tolerate this method... Recently, portable ultrasonography is used in these cases for pre-intubation evaluation of upper airway, post-intubation confirmation of endo-tracheal tube position, and extubation tracheal tube result... However, there is limited information and observational study data that supports the efficacy and safety of ultrasonography guided of PDT... Ultrasonography has numerous advantages... It is individually portable, reliable, safe, pain-free, low-cost and simply available... Real- time ultrasound guided PDT preserves as a safe and cost-effective bedside method for superior use in critical ill patients, particularly in patients with morbid obesity and spinal damage... Michigan researchers have shown that this technique can reduce the rate of major complications... Some studies showed that the complications are 10 times less in patients who received ultrasonography guided PDT comparing with patients that had conventional procedure approach (Box 1)... Nasir Bhatti, MD (director of adult Tracheostomy and Airway Service in the Hospital affiliated to Johns Hopkins University, Baltimore, USA) supported the use of ultrasound guided PDT by non-surgeons; including pulmonologists and intensivists performing arts of PDTs... Ultrasound guided PDT facilitate clinicians to preserve adjacent structures r; demonstrate the guide wire location and the correct level of cannula... It also enables clinicians to assess the space between the anterior tracheal wall and the skin, to evaluate extends length of tube, and suitably put the endo-tracheal tube in the correct position.

No MeSH data available.


Related in: MedlinePlus