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Intensive Care Medicine
Published in: Intensive Care Medicine 6/2004

01-06-2004 | Correspondence

Tracheal ring fracture and herniation with PercuTwist percutaneous dilator

Authors: John A. Kinnear, David J. Higgins

Published in: Intensive Care Medicine | Issue 6/2004

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Excerpt

Sir: We would like to report three cases of tracheal ring fracture and prolapse during percutaneous dilational tracheostomy (PDT) using the PercuTwist kit (Rusch, Kernen, Germany). The original study reported this technique to be a quick and safe dilation procedure without any serious bleeding complications or other relevant procedure-related adverse consequences [1]. In our series of 70 cases performed to date (35 Ciaglia Blue Rhino; 35 PercuTwist), we have encountered three dilation-related complications, all associated with the PercuTwist technique. …
Literature
1.
Frova G, Quintel M (2002) A new simple method for percutaneous tracheostomy: controlled rotating dilation. A preliminary report. Intensive Care Med 28:299–303PubMed
2.
Westphal K, Maeser D, Scheifler G, Lischke V, Byhahn C (2003) PercuTwist: a new single-dilator technique for percutaneous tracheostomy. Anaesth Analg 96:229–232
3.
Byhahn C, Westphal K, Meininger D, Gürke B, Kessler P, Lischke V (2002) Single-dilator percutaneous tracheostomy: a comparison of PercuTwist and Ciaglia Blue Rhino techniques. Intensive Care Med 28:1262–1266CrossRef
4.
Ambesh SP, Pandey CK, Chandra K, Srivastava S, Agarwal A, Singh D (2002) Percutaneous tracheostomy with single dilatation technique: a prospective randomized comparison of Ciaglia Blue Rhino versus Griggs’ guidewire dilating forceps. Anesth Analg 95:1739–1745PubMed
5.
Frosh A, Thomas ML, Weinbren J, Djazaeri B, Richards A (1997) Tracheal ring rupture and herniation during percutaneous dilatational tracheostomy identified by fibreoptic bronchoscopy. Rev Laryngol Otol Rhinol 118:79–80
Metadata
Title
Tracheal ring fracture and herniation with PercuTwist percutaneous dilator
Authors
John A. Kinnear
David J. Higgins
Publication date
01-06-2004
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 6/2004
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-004-2217-5

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