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Translaryngeal tracheostomy in the high-risk patient

✍ Scribed by K. R. Milligan; J. C. McCollum


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
845 KB
Volume
55
Category
Article
ISSN
0003-2409

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Percutaneous tracheostomy is a widely accepted and commonly performed technique for attaining long‐term airway access in critically ill patients. However, severe respiratory failure and coagulopathy are relative contraindications for these procedures. We describe two patients with severe respiratory

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## Abstract ## Objectives/Hypothesis: To describe the outcomes of bedside percutaneous dilatational tracheostomy (PDT) extended to the care of high‐risk patients in the intensive care unit (ICU) by the use of suspension laryngoscopy (SL) to secure the airway. ## Study Design: Retrospective chart

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## Background: Controversy surrounds the safety and practicality of the retrograde percutaneous translaryngeal tracheostomy (fantoni procedure) compared with other percutaneous methods. ## Methods: We used the fantoni tracheostomy for 245 patients in our intensive care unit (icu) over a period of