title: Elective tracheostomy in intensive care unit: Looking between techniques, a three cases report.
abstract: There is no optimal tracheostomy (TS) technique, proved to be the best. For this reason, operators' skills, clinical anatomical and physio-pathological features of the patient should be considered as discriminating factors in the choice of percutaneous dilation tracheostomy (PDT) technique. This article includes reports of three cases of PDT: In the first case distance between jugular notch and the first tracheal ring was too long, the second case involving a patient with mild ectasia of the ascending aorta and aortic regurgitation with De Musset's sign with great risk of perioperative bleeding and a third case, of tracheomalacia with inflammatory stenosis at the 4(th) tracheal ring. All together, this case series describes how decisions were made by an experienced staff, in which the patient characteristics were assessed and techniques best suited for each case were implemented.
authors: Department of Anaesthesiology, Surgical and Emergency Science, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors: Fausto
authors: F
authors: Ferraro
authors: Department of Anaesthesiology, Surgical and Emergency Science, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors: Lucia
authors: L
authors: Marullo
authors: Department of Anaesthesiology, Surgical and Emergency Science, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors: Anna
authors: A
authors: d'Elia
authors: Department of Anaesthesiology, Surgical and Emergency Science, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
authors: Giuseppe
authors: G
authors: Izzo
keywords: Acute respiratory failure; bronchoscopy; inflammatory stenosis; mechanical ventilation; orotracheal intubation; percutaneous tracheostomy; video-assisted endoscopy and ultrasound