FACILITATION OF PERCUTANEOUS DILATIONAL TRACHEOSTOMY BY USE OF A PERFORATED ENDOTRACHEAL-TUBE EXCHANGER

被引：15

作者：

DEBLIEUX, P ^{[1
]}

WADELL, C ^{[1
]}

MCCLARITY, Z ^{[1
]}

DEBOISBLANC, BP ^{[1
]}

机构：

[1] LOUISIANA STATE UNIV,MED CTR,SCH ALLIED HLTH,DEPT CARDIOPULM SCI,NEW ORLEANS,LA 70112

来源：

CHEST | 1995年 / 108卷 / 02期

关键词：

BRONCHOSCOPY; ENDOTRACHEAL INTUBATION; INTRAOPERATIVE COMPLICATIONS; MECHANICAL VENTILATION; TRACHEOSTOMY;

D O I：

10.1378/chest.108.2.572

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Endoscopic guidance during percutaneous dilational tracheostomy reduces the risk of paratracheal insertion of the tracheostomy tube but may impair ventilation and does not eliminate the possibility of premature endotracheal extubation. Use of a small-caliber, hollow endotracheal tube exchanger during stomal dilation in lieu of a fiberoptic bronchoscope allows for better ventilation and more secure airway control.

引用

页码：572 / 574

页数：3

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