Abstract
The percutaneous dilatational tracheostomy (PDT) is a frequently used technique to perform a tracheotomy in long-term ventilated patients in intensive care. The PDT has proven to be safe as the conventional surgical approach and, moreover, shows many advantages such as a decreased incidence of wound infections, a smaller scar, best aesthetic results and economic advantages with saving of medical personnel and resources of the operating room (Delaney et al., Crit Care 10(2):R55, 2006; Brotfain et al., Crit Care Res Pract 2014:156814, 2014).
Although each technique has its specific characteristics, the PDT are all carried out under general anaesthesia with modified Seldinger technique and transcervical approach (except for the TLT technique that uses a translaryngeal approach) and performed under continuous bronchoscope control to make the procedure easier and safer.
In this chapter, we describe two techniques: (1) translaryngeal tracheotomy (TLT) and (2) rotational technique (RT).
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Brunetti, I., Pelosi, P. (2016). Frova’s Rotational Technique and Fantoni’s Translaryngeal Tracheostomy. In: Servillo, G., Pelosi, P. (eds) Percutaneous Tracheostomy in Critically Ill Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-22300-1_8
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DOI: https://doi.org/10.1007/978-3-319-22300-1_8
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