Abstract
A number of percutaneous tracheostomy (PDT) techniques have been developed across the years. The different techniques and devices appeared largely equivalent, with the exception of retrograde tracheostomy. Conventionally, the airway management during PDT has been managed by a single lumen endotracheal tube (ETT). PDT may be performed with laryngeal mask airway (LMA) if the operators are confident with this procedure. LMA may overcome the problem of accidental extubation during PDT because it is stably cuffed during the procedure. Double-lumen endotracheal tube (DLET) for PDT has been recently proposed by literature. DLET is divided in an upper channel, for placement of bronchoscope, and a lower channel exclusively dedicated to patients’ ventilation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique, and outcome. Respir Care. 2014;59(6):895–919.
Vargas M, Servillo G, Arditi E, Brunetti I, Pecunia L, Salami D, Putensen C, Antonelli M, Pelosi P. Tracheostomy in Intensive Care Unit: a national survey in Italy. Minerva Anestesiol. 2013;79:156–64.
Vargas M, Pelosi P, Servillo G. Percutaneous tracheostomy: it’s time for a shared approach! Crit Care. 2014;8:448.
Vargas M, Servillo G, Tessitore G, Aloj F, Brunetti I, Arditi E, Salami D, Kacmarek RM, Pelosi P. Double lumen endotracheal tube for percutaneous tracheostomy. Respir Care. 2014;59:1652–9. doi:10.4187/respcare.03161.
Hsia D, DiBlasi RM, Richardson P, Crotwell D, Debley J, Carter E. The effect of flexible bronchoscopy on mechanical ventilation in a paediatric lung model. Chest. 2009;135(1):33–40.
Reilly PM, Sing RF, Giberson FA, Anderson 3rd HL, Rotondo MF, Tinkoff GH, Schwab CW. Hypercarbia during tracheostomy: a comparison of percutaneous endoscopic, percutaneous Doppler and standard surgical tracheostomy. Intensive Care Med. 1997;23(8):859–64.
Simon M, Metscheke M, Braune SA, Puschel K, Kluge S. Death after percutaneous dilatational tracheostomy: a systematic review and analysis of risk factors. Crit Care. 2013;17:R258.
Linstedt U, Moller F, Grote N, Zenz M, Prengel A. Intubating laryngeal mask as a ventilatory device during percutaneous dilatational tracheostomy: a descriptive study. Br J Anaesth. 2007;99(6):912–5.
Linstedt U, Zenz M, Krull K, Häger D, Prengel AW. Laryngeal mask airway or endotracheal tube for percutaneous dilatational tracheostomy: a comparison of visibility of intratracheal structures. Anesth Analg. 2010;110(4):1076–82.
Pacheler SR, Byhahn KJF, Siebenhofer A, Weberscock T. Laryngeal mask airway versus endotracheal tube for percutaneous dilatational tracheostomy in critically ill adult patients. Cochrane Database System Rev. 2014;(6):CD009901.
Vargas M, Pelosi P, Tessitore G, Aloj F, Brunetti I, Arditi E, Salami D, Kacmarek RM, Servillo G. Percutaneous dilatational tracheostomy with a double lumen endotracheal tube for. Chest. 2015;147(5):1267–74.
Kaiser E, Cantais E, Goutorbe P, Salinier L, Palmier B. Prospective randomized comparison of progressive dilational vs forceps dilational percutaneous tracheostomy. Anaesth Intensive Care. 2006;34(1):51–4.
Montcriol A, Bordes J, Asencio Y, Prunet B, Lacroix G, Meaudre E. Bedside percutaneous tracheostomy: a prospective randomised comparison of PercuTwist versus Griggs’ forceps dilational tracheostomy. Anaesth Intensive Care. 2011;39(2):209–16.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Vargas, M., Perrone, A., Servillo, G. (2016). Airway Management During Tracheostomy. In: Servillo, G., Pelosi, P. (eds) Percutaneous Tracheostomy in Critically Ill Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-22300-1_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-22300-1_13
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-22299-8
Online ISBN: 978-3-319-22300-1
eBook Packages: MedicineMedicine (R0)