Abstract
In the field of neurosurgery, surgical tracheostomy is an indispensable treatment for those to the patients with respiratory insufficiency. Percutaneous tracheostomy was recently developed as a less invasive alternative method. During the last 15 months, we performed tracheostomies in 34 patients using percutaneous tracheostomy Kit. As a result. all of the percutaneous tracheostomies were performed within 5 minutes and without incident. All of the cases were free of complications except one case of slight subcutaneous emphysema. In 3 cases, a bronchofiberscope was used to observe the bronchial wall during this procedure. In conclusion, we confirmed that this procedure was proved to be minimum invasive. However, it should be performed under preparation for surgial procedure by any chance to be absolutely safe, preparations for surgical intervention should be made.
