Walz M K, Hellinger A, Walz M V, Nimtz K, Peitgen K
Abteilung für Allgemeine Chirurgie, Universitätsklinikum Essen.
Chirurg. 1997 May;68(5):531-5. doi: 10.1007/s001040050225.
Translaryngeal tracheostomy is a new type of minimally invasive technique for bedside tracheostomy in intensive care patients. After percutaneous puncture of the trachea below the first tracheal ring, a conic tracheal cannula is fixed to an orally forwarded guide wire. The cannula is then pulled through in orthograde fashion set up, rotated and pushed forward caudally. Among the first 25 translaryngeal tracheostomies in 24 patients, only two complications appeared: one misplacement of the cannula and one infection of the stoma. During a median apnoea time of about 80 s an average PaCO2 increase of 8.0 +/- 6.8 mm Hg was documented; hypoxias could not be seen. Translaryngeal tracheostomy seems to be an appropriate alternative to established tracheostomy methods.
经喉气管切开术是一种用于重症监护患者床边气管切开的新型微创技术。在第一气管环下方经皮穿刺气管后，将锥形气管套管固定在经口腔引出的导丝上。然后将套管以顺行方式穿过、旋转并向尾端向前推。在24例患者的前25例经喉气管切开术中，仅出现了两种并发症：一例套管误置和一例造口感染。在平均约80秒的呼吸暂停时间内，记录到平均动脉血二氧化碳分压升高8.0±6.8 mmHg；未观察到低氧情况。经喉气管切开术似乎是现有气管切开方法的一种合适替代方案。
