Percutaneous Dilatational Tracheostomy

  • L. W. E. van Heurn
  • P. R. G. Brink
  • G. Ramsay
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine book series (YEARBOOK, volume 1997)


Percutaneous tracheostomy was first described in the Renaissance [1]. Sanctorio Sanctorius (1561–1636), professor at the University of Padova advised to use a trocar for the introduction of a tracheal cannula, the same instruments as were used for tapping a hydrocele or an ascites. One century later, Gerard van Swieten of Leyden (1700–1772), personal physician of Empress Maria Theresia of Austria, used this technique in living animals but he considered it to be too dangerous for usage in humans as long as the instruments available were not improved [1]. During the last 25 years percutaneous tracheostomy has been popularized. In 1985, Ciaglia et al. [2] used the instruments of a percutaneous nephrostomy kit and introduced percutaneous dilatational tracheostomy (PDT), a technique for introducing a tracheal cannula without a large incision, without extensive dissection of pretracheal tissue and without exposure of the trachea.


Guide Wire Tracheal Stenosis Tracheal Ring Percutaneous Tracheostomy Subglottic Stenosis 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • L. W. E. van Heurn
  • P. R. G. Brink
  • G. Ramsay

There are no affiliations available

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