Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy
Percutaneous tracheostomy is a routine procedure in intensive care units. In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic tracheostomy is inapplicable. Retrosternal approach to tracheostomy in such 20 patients is here...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2010-01-01
|
| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2010/397270 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832555844857757696 |
|---|---|
| author | Philippe Biderman Avi A. Weinbroum Yael Rafaeli Eyal Raz Eyal Porat Ory Wiesel Oded Szold |
| author_facet | Philippe Biderman Avi A. Weinbroum Yael Rafaeli Eyal Raz Eyal Porat Ory Wiesel Oded Szold |
| author_sort | Philippe Biderman |
| collection | DOAJ |
| description | Percutaneous tracheostomy is a routine procedure in intensive care
units. In cases of very low position of the larynx, cervical spine
deformation, morbid obesity, or neck tumor, performance of the
classic tracheostomy is inapplicable. Retrosternal approach to
tracheostomy in such 20 patients is herein reported. After
preoperative neck computerized tomography to define the neck
anatomy, a small suprasternal incision followed by a short
retrosternal tissue dissection to expose the trachea was done; the
trachea was then catheterized at the level of the 2nd ring in the
usual tracheostomy manner. The immediate and late (≥6 months) outcomes were similar to that of the standard tracheostomy. Thus,
percutaneous retrosternal tracheostomy is safe in patients with
abnormal positioning of the trachea or neck constitution. It is a
bedside applicable technique, that, however, requires caution to
avoid hazardous vascular complications. |
| format | Article |
| id | doaj-art-17b99811da8d47888e0df78bacc91d8f |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-17b99811da8d47888e0df78bacc91d8f2025-02-03T05:46:57ZengWileyCritical Care Research and Practice2090-13052090-13132010-01-01201010.1155/2010/397270397270Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic TracheostomyPhilippe Biderman0Avi A. Weinbroum1Yael Rafaeli2Eyal Raz3Eyal Porat4Ory Wiesel5Oded Szold6Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, IsraelSackler Faculty of Medicine, Tel Aviv University, Ramat Aviv 69978, IsraelDepartment of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, IsraelSackler Faculty of Medicine, Tel Aviv University, Ramat Aviv 69978, IsraelDepartment of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva 49100, IsraelSackler Faculty of Medicine, Tel Aviv University, Ramat Aviv 69978, IsraelSackler Faculty of Medicine, Tel Aviv University, Ramat Aviv 69978, IsraelPercutaneous tracheostomy is a routine procedure in intensive care units. In cases of very low position of the larynx, cervical spine deformation, morbid obesity, or neck tumor, performance of the classic tracheostomy is inapplicable. Retrosternal approach to tracheostomy in such 20 patients is herein reported. After preoperative neck computerized tomography to define the neck anatomy, a small suprasternal incision followed by a short retrosternal tissue dissection to expose the trachea was done; the trachea was then catheterized at the level of the 2nd ring in the usual tracheostomy manner. The immediate and late (≥6 months) outcomes were similar to that of the standard tracheostomy. Thus, percutaneous retrosternal tracheostomy is safe in patients with abnormal positioning of the trachea or neck constitution. It is a bedside applicable technique, that, however, requires caution to avoid hazardous vascular complications.http://dx.doi.org/10.1155/2010/397270 |
| spellingShingle | Philippe Biderman Avi A. Weinbroum Yael Rafaeli Eyal Raz Eyal Porat Ory Wiesel Oded Szold Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy Critical Care Research and Practice |
| title | Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy |
| title_full | Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy |
| title_fullStr | Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy |
| title_full_unstemmed | Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy |
| title_short | Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy |
| title_sort | retrosternal percutaneous tracheostomy an approach for predictably impossible classic tracheostomy |
| url | http://dx.doi.org/10.1155/2010/397270 |
| work_keys_str_mv | AT philippebiderman retrosternalpercutaneoustracheostomyanapproachforpredictablyimpossibleclassictracheostomy AT aviaweinbroum retrosternalpercutaneoustracheostomyanapproachforpredictablyimpossibleclassictracheostomy AT yaelrafaeli retrosternalpercutaneoustracheostomyanapproachforpredictablyimpossibleclassictracheostomy AT eyalraz retrosternalpercutaneoustracheostomyanapproachforpredictablyimpossibleclassictracheostomy AT eyalporat retrosternalpercutaneoustracheostomyanapproachforpredictablyimpossibleclassictracheostomy AT orywiesel retrosternalpercutaneoustracheostomyanapproachforpredictablyimpossibleclassictracheostomy AT odedszold retrosternalpercutaneoustracheostomyanapproachforpredictablyimpossibleclassictracheostomy |