Translaryngeal tracheostomy in highly unstable patients

被引：12

作者：

Byhahn, C ^{[1
]}

Lischke, V ^{[1
]}

Westphal, K ^{[1
]}

机构：

[1] Univ Frankfurt, Ctr Hosp, Dept Anesthesiol Intens Care Med & Pain Control, D-60590 Frankfurt, Germany

来源：

ANAESTHESIA | 2000年 / 55卷 / 07期

关键词：

tracheostomy; percutaneous; translaryngeal; haemophilia; acute respiratory distress syndrome;

D O I：

10.1046/j.1365-2044.2000.01467.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Percutaneous tracheostomy is a widely accepted and commonly performed technique for attaining long-term airway access in critically ill patients. However, severe respiratory failure and coagulopathy are relative contraindications for these procedures. We describe two patients with severe respiratory failure and inhibitor-complicated haemophilia A who underwent elective percutaneous tracheostomy performed translaryngeally, using the new Fantoni technique. Apart from two minor bleeding episodes in the haemophilic patient which were controlled promptly, no other complications occurred. If certain precautions are observed carefully, we believe that translaryngeal tracheostomy is a procedure which is superior to other percutaneous techniques and safe even in patients with severe respiratory failure and coagulopathy.

引用

页码：678 / 682

页数：5