Abstract
Many ICU patients needing prolonged tracheal intubation for respiratory distress or neurological problems receive a tracheostomy. In recent years, intensivists have preferred a bedside percutaneous technique instead of a surgical one. We suggest the use of ultrasound to study the neck and trachea before a percutaneous tracheostomy and to control the steps of the procedure, so reducing risks of complications.
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Further Reading
Hatfield A, Bodenham A (1999) Portable ultrasonic scanning of the anterior neck before percutaneous dilatational tracheostomy. Anaesthesia 54:660–663
Hsieh KS, Lee CL, Lin CC et al (2004) Secondary confirmation of endotracheal tube position by ultrasound image. Crit Care Med 32(Suppl):374–377
Shlugman D, Satya-Krishna R, Loh L (2003) Acute fatal haemorrhage during percutaneous dilatational tracheostomy. Br J Anaesth 90:517–520
Sustic A (2007) Role of ultrasound in the airway management of critically ill patients. Crit Care Med 35(Suppl):173–177
Winkler WB, Karnik R, Seelmann O et al (1994) Bedsided percutaneous dilatational tracheostomy with endoscopic guidance: experience with 71 ICU patients. Intensive Care Med 20:476–479
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© 2013 Springer-Verlag Italia
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Barattini, M., Farnesi, C., Marchiani, S. (2013). Ultrasound for Percutaneous Tracheostomy. In: Sarti, A., Lorini, F. (eds) Echocardiography for Intensivists. Springer, Milano. https://doi.org/10.1007/978-88-470-2583-7_48
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DOI: https://doi.org/10.1007/978-88-470-2583-7_48
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Publisher Name: Springer, Milano
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