Muhl E, Franke C, Bruch H P
Klinik für Chirurgie, Medizinischen Universität Lübeck.
Anasthesiol Intensivmed Notfallmed Schmerzther. 1995 Dec;30(8):497-500. doi: 10.1055/s-2007-996538.
Percutaneous dilatational tracheostomy is a simple bedside procedure and can be performed with a minimum of time and staff. Tears in the posterior wall of the trachea and paratracheal displacement of the tube are possible complications. These complications can be avoided by performing the procedure under bronchoscopic control. We report on 14 dilatational tracheostomies using this new technique. As a severe complication we noted bleeding from a vein with lethal blood aspiration in one case. Bleeding during dilatational tracheostomy procedure requires changing of technique and dissection of the anterior wall of the trachea.
经皮扩张气管切开术是一种简单的床旁操作，所需时间和人员最少。气管后壁撕裂和气管旁导管移位是可能的并发症。通过在支气管镜控制下进行该操作可避免这些并发症。我们报告了使用这种新技术进行的14例扩张气管切开术。作为一种严重并发症，我们注意到1例出现静脉出血并伴有致命性血液误吸。扩张气管切开术过程中的出血需要改变技术并切开气管前壁。
