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  • Title: Clinical evaluation of the "T-Dagger": a new bedside percutaneous dilational tracheostomy device.
    Author: Ambesh SP, Tripathi M, Pandey CK, Pant KC, Singh PK.
    Journal: Anaesthesia; 2005 Jul; 60(7):708-11. PubMed ID: 15960723.
    Abstract:
    A number of percutaneous dilational tracheostomy devices are now available for clinical use. Recently, a new percutaneous dilational tracheostomy device, the "T-Dagger" (Criticure Invasives, India), has been introduced for rapid bedside percutaneous tracheostomy. In a prospective preliminary study, we have performed percutaneous dilational tracheostomy (PDT) using the T-Dagger in 20 adult ventilated patients in order to evaluate the safety and efficacy of the new device. The T-Dagger facilitated bedside PDT in about 3 min with no untoward incidents. There was no significant bleeding, pneumothorax, pneumomediastinum, tracheal wall injuries or difficulty in ventilation in any of the patients. We conclude that the T-Dagger shows early promise in bedside percutaneous dilational tracheostomy. However, controlled studies are required in a larger patient population before it can be recommended for routine use.
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