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Percutaneous tracheostomy in a head and neck unit

Published online by Cambridge University Press:  29 June 2007

Edward W. Fisher*
Affiliation:
London
David J. Howard
Affiliation:
London
*
Mr E. W. Fisher, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA

Abstract

A recent innovation in the technique of tracheostomy is now available as a commercial kit. A standard tracheostomy tube is inserted using a guidewire and dilator as in the Seldinger technique. The kit was used in nine cases in a unit with a head and neck oncology interest. Two failures were experienced but no serious or fatal complications. The technique is limited when applied to necks which are not anatomically ‘ideal’, and hence will have application in head and neck surgery only after careful patient selection

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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References

Bradley, P. J. (1987) The Obstructed Airway. In: Scott-Brown's Otolaryngology. (Stell, P. M. and Kerr, A. G., eds) Vol. 5, Butterworths: London p. 155168.Google Scholar
Eavey, R. D. (1985) The Evolution of Tracheostomy. In: Tracheotomy (Myers, E. N., Stool, S. E., Johnson, J. T., eds.) Churchill Livingstone, New York, pp. 111.Google ScholarPubMed
Frampton, M. C. (1990) Minitracheotomy (letter). British Medical Journal, 300: 1524.CrossRefGoogle Scholar
Gleeson, M. J., Pearsons, R. C., Armistead, S., Yates, A. K. (1984) Voice changes following cricothyroidotomy. Journal of Laryngology and Otology, 98: 10151019.CrossRefGoogle ScholarPubMed
Jackson, C. (1909) Tracheostomy. Transactions of the American Laryngology, Rhinological and Otological Society, 1: 337345.Google Scholar
Kato, I., Vesugi, K., Kikuchihara, M., Iwasawa, H., Iida, J., Tsusumi, K., Iwatake, H., Takeyama, I. (1990) Tracheostomy—the horizontal tracheal incision. Journal of Laryngology and Otology, 104: 322–235.CrossRefGoogle ScholarPubMed
Lambert, V. (1965) Modern application of tracheostomy. British Medical Journal, 175: 143147.CrossRefGoogle Scholar
Leinhardt, D. J., Tan, H. K. K., Rothera, M., Mughal, M. (1991) Comparison of conventional and percutaneous tracheostomy. Journal of the Royal College of Surgeons of Edinburgh, 36: 350.Google Scholar
Milner, S. M., Bennett, J. D. C. (1991) Emergency cricothyrotomy. Journal of Laryngology and Otology, 105: 883885.CrossRefGoogle ScholarPubMed
Morrison, G. A. J. (1990) Minitracheotomy (letter). British Medical Journal, 300: 1273.Google Scholar
Myers, E. N., Stool, S. E. (1985) Complications of Tracheotomy. In Tracheotomy (Myers, E. N., Steel, S. E., Johnson, J. T., eds.) Churchill Livingstone: New York, p. 147169.Google Scholar
Pelausa, E. O. (1991) Percutaneous tracheostomy: ready or not? Journal of Otolaryngology, 20: 8892.Google ScholarPubMed
Ryan, D. W. (1990) Minitracheotomy. British Medical Journal, 300: 958959.CrossRefGoogle ScholarPubMed
Schachner, A., Ovil, Y., Sidi, J., Rogev, M., Heilbronn, Y., Levy, M. J. (1989) Percutaneous tracheostomy—a new method. Critical Care Medicine, 17: 10521056.CrossRefGoogle ScholarPubMed
Scher, N., Dobleman, J., Panje, W. R. (1989) Endotracheal intubation as an alternative to tracheostomy after intraoral or oropharyngeal surgery. Head and Neck, 11: 500504.CrossRefGoogle ScholarPubMed