Ultrasound-guided Percutaneous Dilatational Tracheotomy: A fast and safe technique for airway management: Preliminary Report of a Novel Technique:

Thomas Metterlein; Sabrina Negele; Christian Wunder; Norbert Roewer; Frank Schuster

doi:10.18690/actabiomed.4

Thomas Metterlein University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg
Sabrina Negele University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg
Christian Wunder University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg
Norbert Roewer University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg
Frank Schuster University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg

DOI: https://doi.org/10.18690/actabiomed.4

Keywords: percutaneous dilatational tracheotomy, ultrasound, animal study

Abstract

Purpose: To describe a modified technique for percutaneous dilational tracheotomy (PDT) offering possible significant advantages over currently used procedures.

Methods: An observational animal study using ultrasound for PDT was performed. After pre-incisional ultrasonic examination, and with continuing ultrasound guidance, the trachea was punctured with an 18-gauge introducer needle and a tracheal tube was inserted using the Seldinger technique and a Ciaglia single dilator. Setting: University Hospital animal laboratory center. Subjects: 11 pietrain pigs (weight 26–36 kg).

Results: Successful tracheotomy was accomplished in all 11 pigs. The mean duration of the procedure was 20 seconds from skin penetration to guide wire placement. In one pig, the dorsal wall of the trachea was punctured.

Conclusion: This novel procedure is a simple and effective technique for PDT tube placement.

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Author Biographies

Thomas Metterlein, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg

Dr. Thomas Metterlein, Wuerzburg, Germany. E-mail: metterlein_t@mail.klinik.uni-wuerzburg.de

Sabrina Negele, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg

Sabrina Negele,Wuerzburg, Germany

Christian Wunder, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg

Christian Wunder, Wuerzburg, Germany.

Norbert Roewer, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg

Norbert Roewer, Wuerzburg, Germany.

Frank Schuster, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg

Frank Schuster, Wuerzburg, Germany.

Ultrasound-guided Percutaneous Dilatational Tracheotomy: A fast and safe technique for airway management: Preliminary Report of a Novel Technique

Ultrazvočno vodena perkutana dilatacijska traheotomija: hitra in varna tehnika oskrbe dihalne poti Preliminarno poročilo o novi tehniki

Abstract

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Author Biographies