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Perkutane Tracheotomie — Techniken und Komplikationen

  • Volker Lischke
  • Klaus Westphal
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Zusammenfassung

Alle nachfolgend beschriebenen Verfahren zur Tracheotomie in der Intensivmedizin können prinzipiell sowohl im Operationssaal, als auch am Patientenbett auf der Intensivstation zur Anwendung kommen, wobei die bettseitige Durchführung allgemein favorisiert wird. Die Durchführung der perkutanen Verfahren erfolgt üblicherweise in Allgemeinanästhesie bei vollständiger Relaxation und unter kontrollierter Beatmung. Eine Tracheotomie in Lokalanästhesie ist denkbar, jedoch kann es durch Hustenstöße zu einer kritischen Annäherung der Trachealhinterwand an die Vorderwand kommen, woraus Verletzungen der Pars membranacea resultieren können.

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© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • Volker Lischke
  • Klaus Westphal

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