Toye F J, Weinstein J D
J Trauma. 1986 Nov;26(11):1034-40. doi: 10.1097/00005373-198611000-00013.
Ninety-four cases of percutaneous tracheostomy and six cases of percutaneous cricothyroidotomy are reported in this study. There was one death attributable to the use of the device. A complication rate of 14% is reported. Clinical use for the adult and pediatric patient is reported. The procedure is compared to the standard dissection tracheostomy method of Chevalier Jackson. This procedure has several advantages over the standard dissection method, the most significant of which appears to be the speed with which it can be performed. It can be done in 30 seconds, as opposed to the dissection procedure which requires 3 minutes or more for a surgeon to complete it. Autopsies on 14 of these patients are discussed. Long-term followup, that is for 1 year and more, is reported in 19 cases. Advantages of the percutaneous technique over the standard dissection technique are detailed.
本研究报告了94例经皮气管切开术和6例经皮环甲膜切开术。有1例死亡归因于该设备的使用。报告的并发症发生率为14%。报告了该操作在成人和儿科患者中的临床应用。该操作与Chevalier Jackson的标准解剖气管切开术方法进行了比较。与标准解剖方法相比，该操作有几个优点，其中最显著的似乎是其执行速度。它可以在30秒内完成，而解剖手术外科医生需要3分钟或更长时间才能完成。讨论了其中14例患者的尸检情况。报告了19例患者的长期随访情况，即随访1年及以上。详细介绍了经皮技术相对于标准解剖技术的优点。
