Abstract

Case presentation An older man with multiple broken ribs and lung injury has been intubated and ventilated in the intensive care unit of a busy urban hospital for 12 days. Although it is clear that he should undergo a tracheotomy, operating room time is at a premium, and he has been “bumped” from the schedule several times due to cases that are more urgent and other surgeries that have gone on longer than originally scheduled. His case is elective, but it is increasingly apparent that a tracheotomy will let him proceed to the next phase of his care and it should be performed sooner rather than later. Introduction Interest in a percutaneous approach to tracheotomies first began in 1955 when Shelden et al. performed the first modern percutaneous tracheotomy (PT) [1]. The complication rate, however, was very high due to traumatic lacerations of surrounding structures by the trocar [2–4]. Thus, safer and more efficient methods continued to be developed.

Original languageEnglish (US)
Title of host publicationTracheotomy Management
Subtitle of host publicationA Multidisciplinary Approach
PublisherCambridge University Press
Pages39-50
Number of pages12
ISBN (Electronic)9780511977787
ISBN (Print)9780521196918
DOIs
StatePublished - Jan 1 2011

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Tracheotomy
Lacerations
Urban Hospitals
Lung Injury
Ribs
Operating Rooms
Surgical Instruments
Intensive Care Units
Appointments and Schedules

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Choby, G., Bezinover, D., & Goldenberg, D. (2011). Percutaneous tracheotomy. In Tracheotomy Management: A Multidisciplinary Approach (pp. 39-50). Cambridge University Press. https://doi.org/10.1017/CBO9780511977787.005
Choby, Garret ; Bezinover, Dmitri ; Goldenberg, David. / Percutaneous tracheotomy. Tracheotomy Management: A Multidisciplinary Approach. Cambridge University Press, 2011. pp. 39-50
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Choby, G, Bezinover, D & Goldenberg, D 2011, Percutaneous tracheotomy. in Tracheotomy Management: A Multidisciplinary Approach. Cambridge University Press, pp. 39-50. https://doi.org/10.1017/CBO9780511977787.005

Percutaneous tracheotomy. / Choby, Garret; Bezinover, Dmitri; Goldenberg, David.

Tracheotomy Management: A Multidisciplinary Approach. Cambridge University Press, 2011. p. 39-50.

Research output: Chapter in Book/Report/Conference proceedingChapter

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AB - Case presentation An older man with multiple broken ribs and lung injury has been intubated and ventilated in the intensive care unit of a busy urban hospital for 12 days. Although it is clear that he should undergo a tracheotomy, operating room time is at a premium, and he has been “bumped” from the schedule several times due to cases that are more urgent and other surgeries that have gone on longer than originally scheduled. His case is elective, but it is increasingly apparent that a tracheotomy will let him proceed to the next phase of his care and it should be performed sooner rather than later. Introduction Interest in a percutaneous approach to tracheotomies first began in 1955 when Shelden et al. performed the first modern percutaneous tracheotomy (PT) [1]. The complication rate, however, was very high due to traumatic lacerations of surrounding structures by the trocar [2–4]. Thus, safer and more efficient methods continued to be developed.

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Choby G, Bezinover D, Goldenberg D. Percutaneous tracheotomy. In Tracheotomy Management: A Multidisciplinary Approach. Cambridge University Press. 2011. p. 39-50 https://doi.org/10.1017/CBO9780511977787.005