Caldicott L D, Oldroyd G J, Bodenham A R
Anaesthetic Department, Leeds General Infirmary.
Anaesthesia. 1995 Jan;50(1):49-51. doi: 10.1111/j.1365-2044.1995.tb04514.x.
The Portex percutaneous trachestomy kit incorporates guidewire dilating forceps which pass over a guidewire and perform rapid dilatation. These forceps have curved jaws which are designed to reduce possible damage to the lateral and posterior walls of the trachea. The guidewire dilating forceps are first opened in front of the trachea to dilate the pretracheal tissues and then opened in the trachea to dilate the anterior tracheal wall. A tracheostomy tube is then passed over the guidewire and into the trachea. The procedure was rapid and successful in all 20 patients, with no serious complications. Mean time to perform tracheostomy was 4.9 min (range 90 s-15 min). Overall, the Portex percutaneous tracheostomy kit worked well and proved a rapid and acceptable method for performing percutaneous tracheostomy.
博泰克经皮气管切开套件包含导丝扩张钳，该扩张钳可越过导丝并进行快速扩张。这些钳子的钳口呈弯曲状，旨在减少对气管侧壁和后壁可能造成的损伤。导丝扩张钳首先在气管前方打开，以扩张气管前组织，然后在气管内打开，以扩张气管前壁。然后将气管切开管越过导丝插入气管。该手术在所有20例患者中均迅速且成功，无严重并发症。气管切开术的平均操作时间为4.9分钟（范围为90秒至15分钟）。总体而言，博泰克经皮气管切开套件效果良好，证明是一种快速且可接受的经皮气管切开术方法。
