scholarly journals Bedside Percutaneous Dilatational Tracheostomy by Griggs Technique: A Single-Center Experience

2017 ◽  
Vol 23 ◽  
pp. 4684-4688 ◽  
Author(s):  
İbrahim Tayfun Şahiner ◽  
Yeliz Şahiner
Keyword(s):  
Percutaneous Dilatational Tracheostomy ◽  
Single Center ◽  
Dilatational Tracheostomy ◽  
Single Center Experience

Bedside percutaneous dilatational tracheostomy in patients outside the ICU: a single-center experience

2018 ◽  
Vol 47 ◽  
pp. 127-132 ◽  
Author(s):  
Oded Cohen ◽  
Ruth Shnipper ◽  
Liron Yosef ◽  
Dekel Stavi ◽  
Yael Shapira-Galitz ◽  
...  
Keyword(s):  
Percutaneous Dilatational Tracheostomy ◽  
Single Center ◽  
Dilatational Tracheostomy ◽  
Single Center Experience

scholarly journals Predictors of difficulty in bedside percutaneous dilatational tracheostomy: pilot study

2020 ◽  
Vol 47 ◽  
Author(s):  
LUCAS RIBEIRO TENÓRIO ◽  
MARIANNE YUMI NAKAI ◽  
JÚLIO PATROCÍNIO MORAES ◽  
MARCELO BENEDITO MENEZES ◽  
LETÍCIA DE MELO SILVA ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cohort Study ◽  
Intensive Care ◽  
Pilot Study ◽  
Prospective Cohort ◽  
Percutaneous Dilatational Tracheostomy ◽  
Technical Difficulty ◽  
Single Center ◽  
Dilatational Tracheostomy ◽  
Increased Risk

ABSTRACT Introduction: percutaneous dilatational tracheostomy is currently one of the main procedures performed in an intensive care unit (ICU). However, there are no well-defined indicators of technical difficulty in performing the procedure. Objectives: to define predictors of difficulty in performing bedside percutaneous dilatational tracheostomy. Methodology: prospective cohort study encompassing 21 patients who underwent bedside percutaneous dilatational tracheostomy in the ICU at a single center. Results: Sternohyoid (SH) distance shorter than 7 cm is associated with a 50% increase in the risk of technical difficulty (OR 0.44 and p <0.03). Conclusion: the reduction in (SH) distance is related to an increased risk of difficulty in performing percutaneous dilatational tracheostomy in the ICU bed.

scholarly journals Safety and Feasibility of a Novel Protocol for Percutaneous Dilatational Tracheostomy in Patients with Respiratory Failure due to COVID-19 Infection: A Single Center Experience

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Ziad Boujaoude ◽  
Nagendra Madisi ◽  
Bhavi Patel ◽  
Jean-Sebastien Rachoin ◽  
R. Phillip Dellinger ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Percutaneous Dilatational Tracheostomy ◽  
Healthcare Providers ◽  
Ventilator Circuit ◽  
Positive Serology ◽  
Dilatational Tracheostomy ◽  
Single Center Experience ◽  
Number Of Patients ◽  
Study Results ◽  
Novel Coronavirus

Introduction. The rapidly spreading Novel Coronavirus 2019 (COVID-19) appeared to be a highly transmissible pathogen in healthcare environments and had resulted in a significant number of patients with respiratory failure requiring tracheostomy, an aerosol-generating procedure that places healthcare workers at high risk of contracting the infection. Instead of deferring or delaying the procedure, we developed and implemented a novel percutaneous dilatational tracheostomy (PDT) protocol aimed at minimizing the risk of transmission while maintaining favorable procedural outcome. Patients and Methods. All patients who underwent PDT per novel protocol were included in the study. The key element of the protocol was the use of apnea during the critical part of the insertion and upon any opening of the ventilator circuit. This was coupled with the use of enhanced personnel protection equipment (PPE) with a powered air-purifying respirator (PAPR). The operators underwent antibody serology testing and were evaluated for COVID-19 symptoms two weeks from the last procedure included in the study. Results. Between March 12th and June 30th, 2020, a total of 32 patients underwent PDT per novel protocol. The majority (80%) were positive for COVID-19 at the time of the procedure. The success rate was 94%. Only one patient developed minor self-limited bleeding. None of the proceduralists developed positive serology or any symptoms compatible with COVID-19 infection. Conclusion. A novel protocol that uses periods of apnea during opening of the ventilator circuit along with PAPR-enhanced PPE for PDT on COVID-19 patients appears to be effective and safe for patients and healthcare providers.

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