From the Department of Otolaryngology, Head and Neck Surgery, Galilee Medical Center, Nahariya, Israel.
Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Anesth Analg. 2019 Aug;129(2):e45-e47. doi: 10.1213/ANE.0000000000003321.
We describe a modified technique for percutaneous dilatational tracheostomy using a 15F tube exchanger or Eschmann catheter. A retrospective review of 1180 procedures using this modified technique demonstrated it to be effective with a failure rate of only 0.25% (3 patients). Moreover, it provides an additional safeguard with the ability to rapidly reintroduce the endotracheal tube into the trachea guided by the exchange catheter in the event of accidental extubation during the procedure. This technique needs no additional special devices or equipment (eg, a bronchoscope). However, a prospective study is needed to better define its complication rate.
我们描述了一种使用 15F 管交换器或 Eschmann 导管进行经皮扩张气管切开术的改良技术。对 1180 例使用该改良技术的病例进行回顾性研究表明，该技术有效，失败率仅为 0.25%（3 例）。此外，它提供了额外的保障，如果在手术过程中意外拔管，可以通过交换导管迅速将气管内管重新引入气管。该技术不需要额外的特殊设备或仪器（例如支气管镜）。然而，需要进行前瞻性研究以更好地定义其并发症发生率。
