Abstract
Percutaneous tracheostomy is one of the most commonly operative procedures performed in Intensive Care Unit (ICU) patients [1]. Ciaglia Blue Rhino technique (CBR) is used in our ICU. In our clinical practice we sometimes encountered difficulties in doing initial dilatation of the soft tissue and tracheal wall with the Blue Rhino dilator: it occurs expecially in young or obese patients and usually results in a longer procedure time and more related complications.Also other Authors report these difficulties [2].
Highlights
Percutaneous tracheostomy is one of the most commonly operative procedures performed in Intensive Care Unit (ICU) patients [1]
Aim of this study is to present a simple procedural modification of Ciaglia Blue Rhino PDT in order to avoid the potential difficulty in carrying out initial dilation and greatly reduce the chance of seeing the posterior tracheal wall or create a false route during the dilation
In the Group A PDT was performed by using the modified Ciaglia Blue Rhino technique (CBR) technique: the modification consist of a transverse cut (5 mm long and deep to the anterior tracheal wall) practiced, under guided light given by flexible bronchoscope trans illumination, before
Summary
Percutaneous tracheostomy is one of the most commonly operative procedures performed in Intensive Care Unit (ICU) patients [1]. Ciaglia Blue Rhino technique (CBR) is used in our ICU. In our clinical practice we sometimes encountered difficulties in doing initial dilatation of the soft tissue and tracheal wall with the Blue Rhino dilator: it occurs expecially in young or obese patients and usually results in a longer procedure time and more related complications. other Authors report these difficulties [2]
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