Bodenham A, Diament R, Cohen A, Webster N
St James's Hospital, Leeds.
Anaesthesia. 1991 Jul;46(7):570-2. doi: 10.1111/j.1365-2044.1991.tb09659.x.
Tracheostomy is performed commonly to aid weaning from assisted ventilation in patients who require intensive care. The procedure carries a significant mortality and morbidity, in part due to problems in moving unstable patients. We report the use of a bedside percutaneous tracheostomy technique for use in adult patients who require intensive care. The procedure was successful in 19 of 20 cases. The one failure, in the first case, resulted from transection of a superficial midline vein. The lack of significant haemorrhage was notable in all other cases. The procedure has proved to be efficient and cost-effective in this unit and has now replaced conventional surgical tracheostomy in this group of patients.
气管切开术常用于帮助需要重症监护的患者脱离辅助通气。该手术具有较高的死亡率和发病率，部分原因是搬运不稳定患者时出现问题。我们报告了一种用于需要重症监护的成年患者的床边经皮气管切开术技术。20例中有19例手术成功。第一例失败是由于一条浅表中线静脉横断。在所有其他病例中，均未出现明显出血，这一点值得注意。在本单位，该手术已被证明是高效且具有成本效益的，现已取代了这组患者的传统外科气管切开术。
