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The role of ultrasound in percutaneous dilatational tracheostomy

Background: The use of ultrasound to evaluate cervical anatomy and to guide tracheal puncture in real‐time has been advocated to improve safety and efficacy of percutaneous dilatational tracheostomy (PDT) in intensive care. Objective: To review the potential role, attributed theoretical benefits and...

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Autor principal: Rudas, Máté
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5024914/
https://www.ncbi.nlm.nih.gov/pubmed/28191160
http://dx.doi.org/10.1002/j.2205-0140.2012.tb00197.x
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author Rudas, Máté
author_facet Rudas, Máté
author_sort Rudas, Máté
collection PubMed
description Background: The use of ultrasound to evaluate cervical anatomy and to guide tracheal puncture in real‐time has been advocated to improve safety and efficacy of percutaneous dilatational tracheostomy (PDT) in intensive care. Objective: To review the potential role, attributed theoretical benefits and supporting literature for ultrasound during PDT. Results: A significant number of mostly observational studies and case series support this modality. Real‐time guidance enables clear visualisation of anatomical landmarks and results in a consistently high success and low complication rate, with appropriate positioning of the tracheal puncture. Recognition of unconventional vascular anatomy enables selection of an appropriate alternative puncture site or an elective open surgical approach. Conclusion: Current literature supports that using ultrasound for percutaneous tracheostomy is quick, safe, reliable and offers a plausible advantage over the traditional landmark guided procedure, especially in select patient groups, such as those who are morbidly obese or have difficult to palpate cervical anatomy.
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spelling pubmed-50249142017-02-10 The role of ultrasound in percutaneous dilatational tracheostomy Rudas, Máté Australas J Ultrasound Med Review Articles Background: The use of ultrasound to evaluate cervical anatomy and to guide tracheal puncture in real‐time has been advocated to improve safety and efficacy of percutaneous dilatational tracheostomy (PDT) in intensive care. Objective: To review the potential role, attributed theoretical benefits and supporting literature for ultrasound during PDT. Results: A significant number of mostly observational studies and case series support this modality. Real‐time guidance enables clear visualisation of anatomical landmarks and results in a consistently high success and low complication rate, with appropriate positioning of the tracheal puncture. Recognition of unconventional vascular anatomy enables selection of an appropriate alternative puncture site or an elective open surgical approach. Conclusion: Current literature supports that using ultrasound for percutaneous tracheostomy is quick, safe, reliable and offers a plausible advantage over the traditional landmark guided procedure, especially in select patient groups, such as those who are morbidly obese or have difficult to palpate cervical anatomy. John Wiley and Sons Inc. 2015-12-31 2012-11 /pmc/articles/PMC5024914/ /pubmed/28191160 http://dx.doi.org/10.1002/j.2205-0140.2012.tb00197.x Text en © 2012 Australasian Society for Ultrasound in Medicine
spellingShingle Review Articles
Rudas, Máté
The role of ultrasound in percutaneous dilatational tracheostomy
title The role of ultrasound in percutaneous dilatational tracheostomy
title_full The role of ultrasound in percutaneous dilatational tracheostomy
title_fullStr The role of ultrasound in percutaneous dilatational tracheostomy
title_full_unstemmed The role of ultrasound in percutaneous dilatational tracheostomy
title_short The role of ultrasound in percutaneous dilatational tracheostomy
title_sort role of ultrasound in percutaneous dilatational tracheostomy
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5024914/
https://www.ncbi.nlm.nih.gov/pubmed/28191160
http://dx.doi.org/10.1002/j.2205-0140.2012.tb00197.x
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