经皮气管切开术的一种新技术。

A New Technique for Percutaneous Tracheotomy.

作者信息

Margolin Gregori, Ullman Johan, Karling Jonas

机构信息

1 Department of Otolaryngology and Head & Neck Surgery and Department of Oncology, Karolinska University Hospital, Stockholm, Sweden.

2 Department of Anesthesiology and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.

出版信息

Otolaryngol Head Neck Surg. 2017 May;156(5):966-968. doi: 10.1177/0194599817697047. Epub 2017 Mar 1.

DOI:10.1177/0194599817697047

PMID:28457216

Abstract

The objective of this study was to investigate a new technique for tracheal puncture during percutaneous dilatational tracheotomy (PDT). A new invention, known as SafeTrach, was used: this instrument allows exact localization of the puncture site with built-in protection of the posterior tracheal wall. Surgery was performed on 17 patients with this technique, and our experience is described in this report. The results showed that this new technique minimizes known risk factors compared with existing PDT techniques, including patients with disadvantageous anatomy.

摘要

本研究的目的是探讨经皮扩张气管切开术（PDT）期间气管穿刺的新技术。我们使用了一项名为SafeTrach的新发明：该器械可实现穿刺部位的精确定位，并对气管后壁起到内置保护作用。采用该技术对17例患者实施了手术，本报告介绍了我们的经验。结果表明，与现有的PDT技术相比，这项新技术将已知风险因素降至最低，包括解剖结构不利的患者。