title: Percutaneous dilation tracheostomy during high-frequency oscillatory ventilation.
abstract: OBJECTIVE
  To ascertain the feasibility and the safety of percutaneous dilational tracheostomy in patients with acute respiratory distress syndrome receiving high-frequency oscillatory ventilation.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Tertiary adult intensive care unit in a university teaching hospital.
  
  
  METHODS
  Five patients with acute respiratory distress syndrome.
  
  
  METHODS
  Percutaneous dilational tracheostomy during high-frequency oscillatory ventilation.
  
  
  RESULTS
  Percutaneous dilational tracheostomy was safely performed on all five patients. Hemodynamic and respiratory variables remained stable during the procedure. No complications were attributable to either the percutaneous dilational tracheostomy or high-frequency oscillatory ventilation.
  
  
  CONCLUSIONS
  Percutaneous dilational tracheostomy can be safely performed on patients with acute respiratory distress syndrome during high-frequency oscillatory ventilation.
authors.affiliation: Critical Care Directorate, Cardiff and Vale NHS Trust, University Hospital of Wales, Cardiff, UK.
authors.forename: Sanjoy
authors.initials: S
authors.lastname: Shah
authors.forename: Paul
authors.initials: P
authors.lastname: Morgan
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D003422:Critical Care; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000628:therapy; D014139:Tracheostomy / Q000379:methods; D016896:Treatment Outcome