Publication: Percutaneous dilatational tracheostomy with bronchoscopic guidance: Ramathibodi experience
Issued Date
2007-08-01
Resource Type
ISSN
01252208
01252208
01252208
Other identifier(s)
2-s2.0-34548665265
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.90, No.8 (2007), 1512-1517
Suggested Citation
Viboon Boonsarngsuk, Sumalee Kiatboonsri, Sabaitip Choothakan Percutaneous dilatational tracheostomy with bronchoscopic guidance: Ramathibodi experience. Journal of the Medical Association of Thailand. Vol.90, No.8 (2007), 1512-1517. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/24794
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Percutaneous dilatational tracheostomy with bronchoscopic guidance: Ramathibodi experience
Other Contributor(s)
Abstract
Background: Tracheostomy is considered as the airway management of choice for patients in the ICU who require prolonged mechanical ventilation or airway protection. Percutaneous dilational tracheostomy (PDT) was first described in 1985 and now is a well-established procedure that can be performed at the bedside by a pulmonologist with less surgical equipment required. Design: A retrospective analysis. Material and Method: Twelve patients underwent PDT because of prolonged endotracheal intubation between March and December 2006. The procedures were done by using bedside percutaneous dilatation tracheostomy with guidewire dilator forceps (GWDF) technique with bronchoscopic guidance under general anesthesia in either the intensive care unit or the intermediate care unit of Department of Medicine, Ramathibodi Hospital. Results: There were seven men and five women with a mean age of 55.0 ± 11.8 years. Operative mortality was 0%. Procedure related complication was not found. Operation time in each case was less than ten minutes. Bronchoscopic examination performed in one of the cases after one month of tracheostomy tube removed showed no scar at the tracheostomy site. Conclusion: PDT with bronchoscopic guidance is a safe and easy procedure that can be done by pulmonologist at the bedside setting.
