van Heurn L W, van Geffen G J, Brink P R
Surgical Department, De Wever Hospital, Heerlen, The Netherlands.
Ann Thorac Surg. 1995 Mar;59(3):707-9. doi: 10.1016/0003-4975(94)01016-1.
A minitracheostomy is a small cannula in the trachea that allows permanent access to the tracheal lumen and that is used for the evacuation of bronchial secretions. It generally is performed through the cricothyroid membrane. We used a Seldinger technique in 50 patients to insert a minitracheostomy cannula in the subcricoid position. This technique proved to be easy to perform in translaryngeally intubated patients, both under local anesthesia and under general anesthesia. Operative complications occurred in 5 patients (10%), all of which were minor. The pros and cons of a minitracheostomy in the subcricoid position are discussed.
微创气管切开术是置于气管内的一根小套管，可实现永久性进入气管腔，用于排出支气管分泌物。它通常经环甲膜进行。我们对50例患者采用Seldinger技术在环状软骨下位置插入微创气管切开术套管。结果证明，该技术在经喉插管患者中，无论是在局部麻醉还是全身麻醉下都易于实施。5例患者（10%）出现手术并发症，均为轻微并发症。本文讨论了环状软骨下位置微创气管切开术的优缺点。
