title: A new safe and cost-effective percutaneous dilatational tracheotomy: SafeTrach.
abstract: Conclusion SafeTrach is a new simplified and safe technique to perform percutaneous dilatational tracheotomy (PDT) that eliminates known risk factors compared with existing percutaneous techniques. In the present clinical study, also patients with disadvantageous anatomy not suitable for conventional PDT (CPDT) were treated without complications using SafeTrach. PDT with SafeTrach (STPDT) offers an excellent solution for patients who need tracheotomy in connection with elective ear, nose, and throat (ENT) surgery. Objectives To assess a new technique for percutaneous tracheotomy. Methods Seventeen patients were tracheotomized with STPDT using SafeTrach for the initial penetration sequence and single step dilatational techniques for the dilatational sequence. The patients represented a variety of different neck anatomies. Fifteen patients were head- and neck cancer patients that were subjects of free flap transplants. Results This study showed that STPDT was safe and easy to perform and time-efficient. The median duration of the procedure was 11.5 min and the puncture was in all cases located in the midline of the trachea either between the 2nd and 3rd tracheal ring (n = 13) or between the 3rd and 4th ring (n = 4).
authors.affiliation: a Department of Anesthesiology and Intensive Care , Karolinska University Hospital , Stockholm , Sweden ;
authors.forename: Johan
authors.initials: J
authors.lastname: Ullman
authors.affiliation: b ENT Department , Karolinska University Hospital , Stockholm , Sweden ;
authors.forename: Jonas
authors.initials: J
authors.lastname: Karling
authors.affiliation: c Department of Otolaryngology and Head & Neck Surgery , Karolinska University Hospital , Stockholm , Sweden ;|d Department of Oncology , Karolinska University Hospital , Stockholm , Sweden.
authors.forename: Gregori
authors.initials: G
authors.lastname: Margolin
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014140:Tracheotomy / Q000191:economics / Q000295:instrumentation* / Q000379:methods* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Tracheotomy; head and neck surgery; head and neck tumors; intensive care; percutaneous; tracheostoma; tracheostomy; upper airway obstruction