Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 17 , ISSUE 6 ( December, 2013 ) > List of Articles

Short-Communication

Real-time ultrasound guided percutaneous dilatational tracheostomy in critically ill patients: A step towards safety!

Meghana Srivastava, Harpreet Sandhu

Keywords : Bronchoscopes, percutaneous, real-time, tracheostomy, ultrasonography

Citation Information : Srivastava M, Sandhu H. Real-time ultrasound guided percutaneous dilatational tracheostomy in critically ill patients: A step towards safety!. Indian J Crit Care Med 2013; 17 (6):367-369.

DOI: 10.4103/0972-5229.123449

License: CC BY-ND 3.0

Published Online: 01-12-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

There are few reports and observational data that support the safety and efficacy of real-time ultrasound guided (USG) percutaneous dilatational tracheostomy (PDT) when compared with unguided tracheostomy. We performed real-time USG PDT in our intensive care unit (ICU) patients with the aim of providing safe and cost effective point-of-care management. Real-time ultrasonography has the potential advantage of enabling the clinicians to define the needle path by showing displacement of tissues ahead of needle.


PDF Share
  1. Delaney A, Bagshaw SM, Nalos M. Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: A systematic review and meta-analysis. Crit Care 2006;10:R55.
  2. Youssef TF, Ahmed MR, Saber A. Percutaneous dilatational versus conventional surgical tracheostomy in intensive care patients. N Am J Med Sci 2011;3:508-12.
  3. Kost KM. Endoscopic percutaneous dilatational tracheotomy: A prospective evaluation of 500 consecutive cases. Laryngoscope 2005;115:1-30.
  4. Sustiæ A. Role of ultrasound in the airway management of critically ill patients. Crit Care Med 2007;35:S173-7.
  5. Rajajee V, Fletcher JJ, Rochlen LR, Jacobs TL. Real-time ultrasound-guided percutaneous dilatational tracheostomy: A feasibility study. Crit Care 2011;15:R67.
  6. Sustiæ A, Zupan Z, Eskinja N, Dirliæ A, Bajek G. Ultrasonography guided percutaneous dilataional tracheostomy after anterior cervical spine fixation. Acta Anaesthesiol Scand 1999;43:1078-80.
  7. Sustiæ A, Kovac D, Zgaljardiæ Z, Zupan Z, Krstuloviæ B. Ultrasound-guided percutaneous dilatational tracheostomy: A safe method to avoid cranial misplacement of the tracheostomy tube. Intensive Care Med 2000;26:1379-81.
  8. Rodríguez SJ, Esteves LE. Real-time ultrasound-guided percutaneous dilatational tracheostomy. Crit Care 2011;15:443.
  9. Chacko J, Nikahat J, Gagan B, Umesh K, Ramanathan M. Real-time ultrasound-guided percutaneous dilatational tracheostomy. Intensive Care Med 2012;38:920-1.
  10. Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med 2011;364:749-57.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.