A new simple method for percutaneous tracheostomy: controlled rotating dilation

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Abstract
Objective: To describe and introduce a new technique for percutaneous dilational tracheostomy. Design and setting: Open, observational clinical trial in patients requiring an elective tracheostomy in two intensive care units of university hospitals. Patients: Fifty (25/25) consecutive patients requiring an elective tracheostomy above 18 years of age. Interventions: Performance of a percutaneous dilational tracheostomy with a specially designed screw-type dilator, using a thread for the dilation procedure. Results: In 50 consecutive patients the new device allowed a quick and safe dilation procedure without any serious bleeding complications or other relevant procedural-related side effects. Conclusions: The described new percutaneous dilational tracheostomy device (PercuTwist, Rüsch, Kernen, Germany) represents a single-step method with a high degree of control during dilation. So far, it appears to be a safe, quickly performed procedure with a strikingly low incidence of even small bleeding complications, thus offering an interesting new alternative for the performance of a percutaneous tracheostomy.

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