Role of cricothyrotomy and percutaneous tracheostomy in airway management

Since Ciaglia et al described the percutaneous dilational tracheostomy in 1985, PDT has gained popularity over surgical tracheostomy in the intensive care setting. Percutaneous tracheostomy (PCT) requires less time to perform, it is less expensive and its typically performed sooner. In a meta-analys...

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Main Author:	Mat Nor, Mohd. Basri
Format:	Conference or Workshop Item
Language:	English English
Published:	2012
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/34822/ http://irep.iium.edu.my/34822/1/programme_book_airway_2012.pdf http://irep.iium.edu.my/34822/2/IIUM_airway_lecture_2012.pdf

id	iium-34822
recordtype	eprints
spelling	iium-348222014-02-26T06:46:39Z http://irep.iium.edu.my/34822/ Role of cricothyrotomy and percutaneous tracheostomy in airway management Mat Nor, Mohd. Basri R Medicine (General) Since Ciaglia et al described the percutaneous dilational tracheostomy in 1985, PDT has gained popularity over surgical tracheostomy in the intensive care setting. Percutaneous tracheostomy (PCT) requires less time to perform, it is less expensive and its typically performed sooner. In a meta-analysis of 17 randomized control trials, PDT offers several advantages such as decreased wound infections, decreased bleeding and mortality compared to surgical technique. Indications for PCT are the same as those for standard open tracheostomy. Established contraindications against PCT are unstable fractures of cervical spine, severe local infection of anterior neck and uncontrolled coagulopathy. Relative contraindications are high PEEP or oxygen requirements, difficult anatomy, proximity to extensive burns or surgical wounds, elevated ICP, hemodynamic instability and previous radiotherapy to the neck. In experienced hands, PDT seems to be a safe procedure. The number of relative contraindications to PDT declines with increasing operator experience. Overweight patients have a five times higher risk of perioperative complications with PDT than normal weight patients. 2012-11-01 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/34822/1/programme_book_airway_2012.pdf application/pdf en http://irep.iium.edu.my/34822/2/IIUM_airway_lecture_2012.pdf Mat Nor, Mohd. Basri (2012) Role of cricothyrotomy and percutaneous tracheostomy in airway management. In: 2nd IIUM Airway Management Scientific Meeting 2012, 1st-2nd Nov. 2012, Kuantan, Pahang.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Mat Nor, Mohd. Basri Role of cricothyrotomy and percutaneous tracheostomy in airway management
description	Since Ciaglia et al described the percutaneous dilational tracheostomy in 1985, PDT has gained popularity over surgical tracheostomy in the intensive care setting. Percutaneous tracheostomy (PCT) requires less time to perform, it is less expensive and its typically performed sooner. In a meta-analysis of 17 randomized control trials, PDT offers several advantages such as decreased wound infections, decreased bleeding and mortality compared to surgical technique. Indications for PCT are the same as those for standard open tracheostomy. Established contraindications against PCT are unstable fractures of cervical spine, severe local infection of anterior neck and uncontrolled coagulopathy. Relative contraindications are high PEEP or oxygen requirements, difficult anatomy, proximity to extensive burns or surgical wounds, elevated ICP, hemodynamic instability and previous radiotherapy to the neck. In experienced hands, PDT seems to be a safe procedure. The number of relative contraindications to PDT declines with increasing operator experience. Overweight patients have a five times higher risk of perioperative complications with PDT than normal weight patients.
format	Conference or Workshop Item
author	Mat Nor, Mohd. Basri
author_facet	Mat Nor, Mohd. Basri
author_sort	Mat Nor, Mohd. Basri
title	Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_short	Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_full	Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_fullStr	Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_full_unstemmed	Role of cricothyrotomy and percutaneous tracheostomy in airway management
title_sort	role of cricothyrotomy and percutaneous tracheostomy in airway management
publishDate	2012
url	http://irep.iium.edu.my/34822/ http://irep.iium.edu.my/34822/1/programme_book_airway_2012.pdf http://irep.iium.edu.my/34822/2/IIUM_airway_lecture_2012.pdf
first_indexed	2023-09-18T20:50:06Z
last_indexed	2023-09-18T20:50:06Z
_version_	1777409936674783232

Role of cricothyrotomy and percutaneous tracheostomy in airway management

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