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  • Title: [Percutaneous tracheostomy for the management of the patient with a difficult airway].
    Author: Suzuki H, Aoyagi M.
    Journal: Masui; 2008 Feb; 57(2):147-51. PubMed ID: 18277559.
    Abstract:
    BACKGROUND: In recent years, percutaneous tracheostomy has been performed in patients with adverse conditions such as short neck, obesity, coagulopathy or in emergency. METHODS: We performed percutaneous tracheostomy with Griggs' or Ciaglia's technique in five patients with difficult airways due to laryngeal tumors, a laryngeal edema, a neck cancer or a cervical injury. RESULTS: Well-trained anesthesiologists performed all procedures. In four patients, percutaneous tracheostomy was completed rapidly without any complications. The rest of patients underwent orotracheal intubation successfully with a percutaneous tracheostomy set prepared for an emergency situation. We call this setting "Stand-by PCT". CONCLUSIONS: We believe that percutaneous tracheostomy in well-trained hands can be used safely for the management of the patient with a difficult airway.
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