[Percutaneous tracheotomy following single tracheal dilatation. Experience in 74 patients].
In the method described by Ciaglia et al., the trachea is cannulated transcutaneously below the cricoid cartilage under bronchoscopic observation. For this purpose, a Seldinger wire with seven graduated dilatators is used for successive tracheal dilatation to 36 CH and insertion of an indwelling tracheal cannula. The disadvantage of this procedure is the time-consuming successive insertion of seven bougies and the repeated risk of injury to the dorsal tracheal wall. Percutaneous cannulization sets are expensive and cannot be re-sterilized. We developed a re-sterilizable, single-step bougienage device and tested the procedure successfully without any complications in 74 patients.
Wolfgarten
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Klinik und Poliklinik für Visceral- und Gefässchirurgie (Direktor: Prof. Dr. A. H. Hölscher), Universität zu Köln. BerndWolfgarten@compuserve.com
July
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis; D004106:Dilatation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011677:Punctures; D014140:Tracheotomy / Q000191:economics / Q000379:methods*