Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
The necessity of bronchoscopic monitoring during percutaneous tracheostomy in ICU
Kouichirou YonemitsuKenji ShiraishiKatsuyuki SagishimaYasuhiro GushimaHiroki IrieHiroaki KawanoTaichi TakedaYoshihiro Kinoshita
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2005 Volume 12 Issue 2 Pages 137-140

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Abstract
Bronchoscope assisted percutaneous tracheostomy (PCT) was performed in 11 patients in our intensive care unit without any complications. A bronchoscope was inserted through an endotracheal tube and we could observe the tracheal lumen throughout the procedures of PCT. This technique could confirm the insertion of tracheal tubes and avoid the serious complications in a conventional blind puncture, such as accidental extubations of the endotracheal tubes before insertion, miscanulations in the tracheal lumen, and esophageal injuries. We recommend the bronchoscope assisted PCT as a safer procedure rather than a conventional blind puncture.
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© The Japanese Society of Intensive Care Medicine
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