Abstract
Ultrasound Guidance and Flexible Fiberoptic Bronchoscopy Guidance in Percutaneous Dilatational Tracheostomy
Highlights
Tracheostomy is one of the oldest known surgical procedures that is frequently per formed in Intensive Care Units (ICUs) in order to facilitate weaning from mechanical ventilation, reduce anatomical dead space, avoid laryngeal injury caused by prolonged intubation and aid in management of tracheobronchial and pulmonary secretions [1,2]
No patients in both groups suffered from hypoxia. patients from group II suffered from hypercapnia which was significantly higher than group I in which no patients suffered from hypercapnia (p=0.017)
Bronchoscopic guidance during Percutaneous dilatational tracheostomy (PDT) offers the best vision decreasing the need for multiple punctures and the risk of misdirection or false passage of the tube
Summary
Tracheostomy is one of the oldest known surgical procedures that is frequently per formed in Intensive Care Units (ICUs) in order to facilitate weaning from mechanical ventilation, reduce anatomical dead space, avoid laryngeal injury caused by prolonged intubation and aid in management of tracheobronchial and pulmonary secretions [1,2]. Percutaneous dilatational tracheostomy (PDT) is a commonly per formed bedside procedure in the Intensive Care Unit. A lot of assisting tools have long been used to facilitate guidance during percutaneous tracheostomy and reducing the incidence of these perioperative complications. These include ultrasound (US) imaging of the neck, light wand for trans-illumination of the soft tissues of the neck, and flexible fiberoptic bronchoscopy, other tools have been used to prevent hypoventilation during the procedure such as the laryngeal mask airway (LMA) [8,9,10].
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