[Percutaneous tracheostomy with use of a laryngeal mask].

The percutaneous tracheostomy is a conventional procedure in patients undergoing long term ventilation on ICU. It both facilitates weaning and reduces the ventilation and tracheal tube associated risks.Usually the tracheostomy is accomplished via the tracheal tube. The alternative implies extubation and reinsertion of a laryngeal mask. This method itself affords a better overview for the bronchoscoping person accompanied by a lower risk for cuff or bronchoscope lesions. An accidental extubation as well as an injuring of the vocal cords (because of the inflated cuff during accidental extubation) appears impossible in this method.This paper gives a general survey on indication, contraindication, advantages and disadvantages of the percutaneous tracheostomy via laryngeal mask. We also described the procedure itself, step by step.