title: [Methodology in puncture tracheostomy. Technique, indications and contraindications].
abstract: Percutaneous dilatational tracheostomy is a relatively new minimally invasive method for bedside tracheostomy of immobilized adult patients. This procedure is based on the Seldinger technique: after percutaneous puncture of the trachea beneath the cricoid a guidewire is placed into the trachea. Afterwards the wound channel around the wire is dilated until a tracheal cannula can be put in place. The surgeon requires not only precise knowledge of cervical anatomy and manual skills to perform this technique but should also be aware of contraindications and how to proceed if there are technical problems. Based on our personal experience of more than 300 percutaneous dilatational tracheostomies, appropriate recommendations are given.
authors.affiliation: Abteilung für Allgemeine Chirurgie, Universitätsklinikum Essen.
authors.forename: M K
authors.initials: MK
authors.lastname: Walz
authors.forename: F W
authors.initials: FW
authors.lastname: Eigler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000075202:Contraindications; D004106:Dilatation / Q000295:instrumentation; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000209:etiology; D011677:Punctures / Q000295:instrumentation*; D013525:Surgical Instruments; D014139:Tracheostomy / Q000295:instrumentation*
vernacular_title: Methodik der Punktionstracheostomie. Technik, Indikationen und Kontraindikationen.