Ultrasound-guided Percutaneous Dilatational Tracheotomy: A fast and safe technique for airway management: Preliminary Report of a Novel Technique

Ultrazvočno vodena perkutana dilatacijska traheotomija: hitra in varna tehnika oskrbe dihalne poti Preliminarno poročilo o novi tehniki

Authors

  • Thomas Metterlein University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg , University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg Author
  • Sabrina Negele University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg , Author
  • Christian Wunder University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg , Author
  • Norbert Roewer University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg , Author
  • Frank Schuster University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg , Author

DOI:

https://doi.org/10.18690/actabiomed.4

Keywords:

percutaneous dilatational tracheotomy, ultrasound, animal study

Abstract

Purpose: To describe a modified technique for percutaneous dilational tracheotomy (PDT) offering possible significant advantages over currently used procedures.

Methods: An observational animal study using ultrasound for PDT was performed. After pre-incisional ultrasonic examination, and with continuing ultrasound guidance, the trachea was punctured with an 18-gauge introducer needle and a tracheal tube was inserted using the Seldinger technique and a Ciaglia single dilator. Setting: University Hospital animal laboratory center. Subjects: 11 pietrain pigs (weight 26–36 kg).


Results: Successful tracheotomy was accomplished in all 11 pigs. The mean duration of the procedure was 20 seconds from skin penetration to guide wire placement. In one pig, the dorsal wall of the trachea was punctured.

Conclusion: This novel procedure is a simple and effective technique for PDT tube placement.

Author Biographies

  • Thomas Metterlein, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg

    Dr. Thomas Metterlein, Wuerzburg, Germany. E-mail: metterlein_t@mail.klinik.uni-wuerzburg.de

  • Sabrina Negele, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg,

    Sabrina Negele,Wuerzburg, Germany

  • Christian Wunder, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg,

    Christian Wunder, Wuerzburg, Germany.

  • Norbert Roewer, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg,

    Norbert Roewer, Wuerzburg, Germany.

  • Frank Schuster, University Hospital, Department of Anaesthesiology, Julius-Maximilian-University of Wuerzburg,

    Frank Schuster, Wuerzburg, Germany.

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Published

18.09.2021

Issue

Vol. 1 No. 1 (2008)

Section

Laboratory Study

License

Copyright (c) 2008 Acta Medico-Biotechnica

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Metterlein, T., Negele, S., Wunder, C., Roewer, N., & Schuster, F. (2021). Ultrasound-guided Percutaneous Dilatational Tracheotomy: A fast and safe technique for airway management: Preliminary Report of a Novel Technique: Ultrazvočno vodena perkutana dilatacijska traheotomija: hitra in varna tehnika oskrbe dihalne poti Preliminarno poročilo o novi tehniki. Acta Medico-Biotechnica, 1(1), 19-24. https://doi.org/10.18690/actabiomed.4