Suzuki Hiroto, Aoyagi Mitsuo
Anesthesia and Critical Care Service, Chiba Aoba Municipal Hospital, Chiba, Japan.
Masui. 2008 Feb;57(2):147-51.
In recent years, percutaneous tracheostomy has been performed in patients with adverse conditions such as short neck, obesity, coagulopathy or in emergency.
We performed percutaneous tracheostomy with Griggs' or Ciaglia's technique in five patients with difficult airways due to laryngeal tumors, a laryngeal edema, a neck cancer or a cervical injury.
Well-trained anesthesiologists performed all procedures. In four patients, percutaneous tracheostomy was completed rapidly without any complications. The rest of patients underwent orotracheal intubation successfully with a percutaneous tracheostomy set prepared for an emergency situation. We call this setting "Stand-by PCT".
We believe that percutaneous tracheostomy in well-trained hands can be used safely for the management of the patient with a difficult airway.
近年来，经皮气管切开术已应用于颈部短粗、肥胖、凝血功能障碍等病情不利的患者或紧急情况下。
我们采用 Griggs 技术或 Ciaglia 技术，对 5 例因喉肿瘤、喉水肿、颈部癌症或颈部损伤导致气道困难的患者实施经皮气管切开术。
所有操作均由训练有素的麻醉医生完成。4 例患者经皮气管切开术迅速完成，无任何并发症。其余患者则在为紧急情况准备的经皮气管切开套件的帮助下成功进行了口气管插管。我们将这种情况称为“备用经皮气管切开术（Stand-by PCT）”。
我们认为，训练有素的人员实施经皮气管切开术可安全用于气道困难患者的管理。
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