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Critical Care
Published in: Critical Care 2/2011

01-04-2011 | Commentary

Ultrasound-guided tracheostomy - not for the many, but perhaps the few... or the one

Authors: Lorraine N Tremblay, Damon C Scales

Published in: Critical Care | Issue 2/2011

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Abstract

Percutaneous tracheostomy has become a routine procedure in most intensive care units, and point of care ultrasound is becoming used with greater frequency to augment diagnosis and therapy for critically ill patients. The case series from Rajajee and colleagues incorporates 'real-time' ultrasound in an effort to improve the safety of percutaneous tracheostomy. While their report does not prove that ultrasound should be used prior to or during all percutaneous tracheostomies, it does reinforce several important safety considerations concerning the anatomy of the neck, and in particular the potential to encounter bleeding complications during these procedures.
Literature
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Rajajee V, Fletcher JJ, Rochlen LR, Jacobs TL: Real-time ultrasound-guided percutaneous dilatational tracheostomy: a feasibility study. Crit Care 2011, 15: R67. 10.1186/cc10047PubMedCentralCrossRefPubMed
2.
Muhammad JK, Major E, Wood A, Patton DW: Percutaneous dilatational tracheostomy: haemorrhagic complications and the vascular anatomy of the anterior neck. A review based on 497 cases. Int J Oral Maxillofac Surg 2000, 29: 217-222. 10.1016/S0901-5027(00)80097-1CrossRefPubMed
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Bertram S, Emshoff R, Norer B: Ultrasonographic anatomy of the anterior neck: implications for tracheostomy. J Oral Maxillofac Surg 1995, 53: 1420-1424. 10.1016/0278-2391(95)90669-XCrossRefPubMed
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De Leyn P, Bedert L, Delcroix M, Depuydt P, Lauwers G, Sokolov Y, Van Meerhaeghe A, Van Schil P, Belgian Association of Pneumology and Belgian Association of Cardiothoracic Surgery: Tracheotomy: clinical review and guidelines. Eur J Cardiothorac Surg 2007, 32: 412-421. 10.1016/j.ejcts.2007.05.018CrossRefPubMed
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Higgins KM, Punthakee X: Meta-analysis comparison of open versus percutaneous tracheostomy. Laryngoscope 2007, 117: 447-454. 10.1097/01.mlg.0000251585.31778.c9CrossRefPubMed
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McCormick B, Manara AR: Mortality from percutaneous dilatational tracheostomy. A report of three cases. Anaesthesia 2005, 60: 490-495. 10.1111/j.1365-2044.2005.04137.xCrossRefPubMed
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Metadata
Title
Ultrasound-guided tracheostomy - not for the many, but perhaps the few... or the one
Authors
Lorraine N Tremblay
Damon C Scales
Publication date
01-04-2011
Publisher
BioMed Central
Published in
Critical Care / Issue 2/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc10106

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