Soni Kapil D, Garg Neha, Aggarwal Richa, Ambuj Ambuj
Department of Critical and Intensive Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical SciencesNew Delhi, India.
Department of Anaesthesia and Critical Care, All India Institute of Medical SciencesNew Delhi, India.
Int J Burns Trauma. 2017 Jul 25;7(4):47-49. eCollection 2017.
Percutaneous dilatational tracheostomy (PDT) is a common surgical procedure and established as first choice for securing the airway in critically ill patients needing prolonged mechanical ventilation. There are case reports of open tracheostomy through paramedian approach without complications. This case report presents a case of PDT through paramedian approach.
An 18 year old female, case of firearm injury underwent cervical esophagostomy on the left side of neck approaching midline. So we perform PDT through paramedian technique and lateral approach safely with use of real time ultrasound and fiberoptic bronchoscope.
PDT can be done through paramedian technique and lateral approach to trachea safely with help of ultrasound and fiberoptic bronchoscope in the conditions where midline approach is not feasible and unsafe.
经皮扩张气管切开术（PDT）是一种常见的外科手术，已被确立为需要长期机械通气的重症患者气道保障的首选方法。有经旁正中入路开放性气管切开术无并发症的病例报告。本病例报告介绍了一例经旁正中入路的PDT病例。
一名18岁女性，因火器伤在颈部左侧靠近中线处行颈段食管造口术。因此，我们在实时超声和纤维支气管镜的辅助下，通过旁正中技术和外侧入路安全地实施了PDT。
在中线入路不可行且不安全的情况下，借助超声和纤维支气管镜，可通过旁正中技术和气管外侧入路安全地实施PDT。
