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Ann Thorac Surg 1989;47:314-315
© 1989 The Society of Thoracic Surgeons

Articles

Percutaneous endoscopic tracheostomy

A. Paul, MDa,b, D. Marelli, MDa,b, R.C.-J. Chiu, MD, PhD*,a,b, K.H. Vestweber, MDa,b, D.S. Mulder, MDa,b

a Department of Surgery, McGill University. Montreal, Quebec, Canada
b The Second Department of Surgery, University of Cologne, Cologne, Federal Republic of Germany

Accepted for publication September 21, 1988.

* Address reprint requests to Dr Chiu, The Montreal General Hospital, 1650 Cedar Ave, Room 947, Montreal, Quebec, Canada H3G 1A4.

Bedside percutaneous tracheostomies are increasingly performed. This avoids patient transport to the operating room. Complications of this procedure are largely related to the blind nature of the technique. After laboratory studies, 4 patients underwent percutaneous endoscopic guided tracheostomy in a selective clinical trial. There were no procedure-related complications. Endoscopic guidance ensures precise low tracheostomy position, prevents paratracheal tube misplacement, and avoids inadvertent injuries.




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