Percutaneous dilatational tracheostomy with bronchoscopic guidance: Ramathibodi experience.

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dc.contributor.authorBoonsarngsuk, Viboonen_US
dc.contributor.authorKiatboonsri, Sumaleeen_US
dc.contributor.authorChoothakan, Sabaitipen_US
dc.date.accessioned2009-05-27T20:39:38Z
dc.date.available2009-05-27T20:39:38Z
dc.date.issued2007-08-12en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractBACKGROUND: Tracheostomy is considered as the airway management of choice for patients in the ICU who require prolonged mechanical ventilation or airway protection. Percutaneous dilational tracheostomy (PDT) was first described in 1985 and now is a well-established procedure that can be performed at the bedside by a pulmonologist with less surgical equipment required. DESIGN: A retrospective analysis. MATERIAL AND METHOD: Twelve patients underwent PDT because of prolonged endotracheal intubation between March and December 2006. The procedures were done by using bedside percutaneous dilatation tracheostomy with guidewire dilator forceps (GWDF) technique with bronchoscopic guidance under general anesthesia in either the intensive care unit or the intermediate care unit of Department of Medicine, Ramathibodi Hospital. RESULTS: There were seven men and five women with a mean age of 55.0 +/- 11.8 years. Operative mortality was 0%. Procedure related complication was not found Operation time in each case was less than ten minutes. Bronchoscopic examination performed in one of the cases after one month of tracheostomy tube removed showed no scar at the tracheostomy site. CONCLUSION: PDT with bronchoscopic guidance is a safe and easy procedure that can be done by pulmonologist at the bedside setting.en_US
dc.description.affiliationDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. bss-vb@hotmail.comen_US
dc.identifier.citationBoonsarngsuk V, Kiatboonsri S, Choothakan S. Percutaneous dilatational tracheostomy with bronchoscopic guidance: Ramathibodi experience. Journal of the Medical Association of Thailand. 2007 Aug; 90(8): 1512-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/43404
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBronchoscopyen_US
dc.subject.meshDilatation --methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRespiration, Artificialen_US
dc.subject.meshTracheostomy --methodsen_US
dc.titlePercutaneous dilatational tracheostomy with bronchoscopic guidance: Ramathibodi experience.en_US
dc.typeJournal Articleen_US
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