title: [Percutaneous tracheostomy with use of a laryngeal                     mask].
abstract: The percutaneous tracheostomy is a conventional procedure in patients undergoing                     long term ventilation on ICU. It both facilitates weaning and reduces the                     ventilation and tracheal tube associated risks.Usually the tracheostomy is accomplished via the tracheal tube. The alternative                     implies extubation and reinsertion of a laryngeal mask. This method itself                     affords a better overview for the bronchoscoping person accompanied by a lower                     risk for cuff or bronchoscope lesions. An accidental extubation as well as an                     injuring of the vocal cords (because of the inflated cuff during accidental                     extubation) appears impossible in this method.This paper gives a general survey on indication, contraindication, advantages and                     disadvantages of the percutaneous tracheostomy via laryngeal mask. We also                     described the procedure itself, step by step.
authors.affiliation: Klinik und Poliklinik für Herz- und Thoraxchirurgie, Herzzentrum, Uniklinik Köln. thomas.kuhl@uk-koeln.de
authors.forename: T
authors.initials: T
authors.lastname: Kuhl
authors.forename: S
authors.initials: S
authors.lastname: Wendt
authors.forename: G
authors.initials: G
authors.lastname: Michels
authors.forename: G
authors.initials: G
authors.lastname: Langebartels
authors.forename: T
authors.initials: T
authors.lastname: Wahlers
mesh_terms: D004106:Dilatation / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods; D017214:Laryngeal Masks; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011677:Punctures / Q000295:instrumentation / Q000379:methods*; D013525:Surgical Instruments; D014140:Tracheotomy / Q000295:instrumentation / Q000379:methods*; D014172:Transillumination / Q000295:instrumentation / Q000379:methods