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Titolo:
Percutaneous tracheostomy: Ciaglia Blue Rhino versus the basic ciaglia technique of percutaneous dilational tracheostomy
Autore:
Byhahn, C; Wilke, HJ; Halbig, S; Lischke, V; Westphal, K;
Indirizzi:
Univ Frankfurt Hosp, Dept Anesthesiol Intens Care Med & Pain Control, D-60590 Frankfurt, Germany Univ Frankfurt Hosp Frankfurt Germany D-60590 D-60590 Frankfurt, Germany
Titolo Testata:
ANESTHESIA AND ANALGESIA
fascicolo: 4, volume: 91, anno: 2000,
pagine: 882 - 886
SICI:
0003-2999(200010)91:4<882:PTCBRV>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONVENTIONAL SURGICAL TRACHEOSTOMY; DILATATIONAL TRACHEOSTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Byhahn, C Univ Frankfurt Hosp, Dept Anesthesiol Intens Care Med & Pain Control, Theodor Stern Kai 7, D-60590 Frankfurt, Germany Univ Frankfurt Hosp Theodor Stern Kai 7 Frankfurt Germany D-60590
Citazione:
C. Byhahn et al., "Percutaneous tracheostomy: Ciaglia Blue Rhino versus the basic ciaglia technique of percutaneous dilational tracheostomy", ANESTH ANAL, 91(4), 2000, pp. 882-886

Abstract

Percutaneous dilational tracheostomy (PDT), according to Ciaglia's technique described in 1985, has become the most popular technique for percutaneous tracheostomy and is demonstrably as safe as surgical tracheostomy. In 1999, an extensively modified technique of PDT was introduced, the Ciaglia Blue Rhino (CBR; Cook Critical Care, Bloomington, IL, that consists of one-step dilation by means of a curved dilator with hydrophilic coating. To compare CBR with the basic technique of PDT, we performed a prospective, randomized trial in 50 critically ill adults. Twenty-five of these patients had PDT, and 25 had CBR Average operating times were <3 min for CBR (range: 50-360s) and <7 min for PDT (range: 4-20 min; P < 0.0001). Tracheostomy was successfully completed in all patients. When CBR was performed, 11 minor, nonlife-threatening complications were noted: nine fractures of tracheal cartilage and two short periods of intraoperative oxygen desaturation. During PDT,seven complications occurred, of which three were potentially life-threatening: two injuries to the posterior tracheal wall, one pneumothorax, two tracheal cartilage fractures (P < 0.05 vs CBR), one case of bleeding, and oneshort episode of intraoperative oxygen desaturation. Regardless of whetherPDT or CBR was performed, oxygenation was not significantly affected, and there was no infection of the tracheostoma. Based on our data, we conclude that new CBR is more practicable than PDT. No life-threatening complications occurred during CBR.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 17:06:01