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Titolo:
Ciaglia Blue Rhino: A modified technique of percutaneous dilatational tracheostomy. Technique and early results
Autore:
Byhahn, C; Lischke, V; Halbig, S; Scheifler, G; Westphal, K;
Indirizzi:
Univ Frankfurt Klinikum, Klin Anasthesiol Intens Med & Schmerztherapie, D-60590 Frankfurt, Germany Univ Frankfurt Klinikum Frankfurt Germany D-60590 590 Frankfurt, Germany
Titolo Testata:
ANAESTHESIST
fascicolo: 3, volume: 49, anno: 2000,
pagine: 202 - 206
SICI:
0003-2417(200003)49:3<202:CBRAMT>2.0.ZU;2-8
Fonte:
ISI
Lingua:
GER
Soggetto:
CONVENTIONAL SURGICAL TRACHEOSTOMY; TRANSLARYNGEAL TRACHEOSTOMY; DILATIONAL TRACHEOSTOMY;
Keywords:
percutaneous dilatational tracheostomy; Ciaglia Blue Rhino; complications;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Byhahn, C Univ Frankfurt Klinikum, Klin Anasthesiol Intens Med & Schmerztherapie, Theodor Stern Kai 7, D-60590 Frankfurt, Germany Univ Frankfurt Klinikum Theodor Stern Kai 7 Frankfurt Germany D-60590
Citazione:
C. Byhahn et al., "Ciaglia Blue Rhino: A modified technique of percutaneous dilatational tracheostomy. Technique and early results", ANAESTHESIS, 49(3), 2000, pp. 202-206

Abstract

Objective: Elective tracheostomy has become an established treatment modality in modern intensive care medicine,and the number of percutaneously performed tracheostomies is steadily increasing. The Ciaglia Blue Rhino (CBR) represents another percutaneous technique in which the tracheostoma is formed by one-step dilation. Our study presents the technique itself and the early clinical experiences. Methods: in 20 adult patients on long-term ventilation, CBR was done. After puncture of the trachea in typical manner, dilation of the tracheostoma was achieved in one single step by means of a curved dilator with a special hydrophilic coating. Then, the tracheostomy tube was inserted over a curvedloading dilator. Practicability and safety were determined as well as gas exchange during the procedure by means of arterial blood gas samples. Results: As a result of the dilator's hydrophilic coating, dilation of thetracheostoma was rapidly achieved within 152 +/- 22 s,virtually free from resistance of the trachea or the cervical tissues. Complications such as bleeding, aspiration or postoperative infection of the stoma were not noted in any of our patients. Fractures of isolated tracheal cartilage rings were seen in 5 patients, however, no therapeutic intervention was necessary. In terms of perioperative gas exchange, pre- and postoperative levels of FiO(2), PaO2, PaCO2 and the oxygenation index (PaO2/FiO(2)) did not change significantly. Conclusions: Based on our early clinical experience, Ciaglia Blue Rhino represents a new method that may combine the typical advantages of each of the other techniques for percutaneous tracheostomy (i.e. Ciaglia, Griggs, Fantoni) in one single technique. This method is distinguished by a high levelof safety and practicability. However, further comparative trials need to be done before a definitive judgement can be made.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 16:30:45