https://doi.org/10.4081/amsa.2024.43
Retroversion bronchoscopy: an innovative approach to percutaneous dilatational tracheostomy and more
Submitted: 20 June 2024
Accepted: 21 June 2024
Published: 10 September 2024
Accepted: 21 June 2024
Abstract Views: 120
PDF: 42
Video: 20
Video: 20
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Tracheostomy is one of the most performed procedures in intensive care unit. Dilatational techniques, such as those described by Ciaglia, Griggs, or Fantoni, are currently the best choices as they can be easily performed at the bedside. Like any other intervention, early and late complications can occur even if the procedure appears to be performed without any issues. Although using a bronchoscope can make tracheostomy easier and safer, its routine utilization remains controversial. We describe a new method to further reduce the incidence of some complications: retroversion bronchoscopy. This new approach is not difficult to master and may be useful in other intensive care unit scenarios as well.
Andriolo BN, Andriolo RB, Saconato H, et al. Early versus late tracheostomy for critically ill patients. Cochrane Database Syst Rev 2015;1:CD007271.
DOI: https://doi.org/10.1002/14651858.CD007271.pub3
Romem A, Gilboa H. Percutaneous tracheostomy in the ICU: A review of the literature and recent updates. Curr Opin Pulm Med 2023;29:47-53.
DOI: https://doi.org/10.1097/MCP.0000000000000928
Pahor AL. Ear, nose and throat in Ancient Egypt. J Laryngol Otol 1992;106:773-9.
DOI: https://doi.org/10.1017/S0022215100120869
Sanabria A. Which percutaneous tracheostomy method is better? A systematic review. Respir Care 2014;59:1660-70.
DOI: https://doi.org/10.4187/respcare.03050
Cabrini L, Monti G, Landoni G, et al. Percutaneous tracheostomy, a systematic review. Acta Anaesthesiol Scand 2012;56:270-81.
DOI: https://doi.org/10.1111/j.1399-6576.2011.02592.x
Freeman BD. Tracheostomy update: when and how. Crit Care Clin 2017;33:311-22.
DOI: https://doi.org/10.1016/j.ccc.2016.12.007
Ciaglia P, Firsching R, Syniec C. Elective percutaneous dilatational tracheostomy: A new simple bedside procedure; preliminary report. Chest 1985;87:715-9.
DOI: https://doi.org/10.1378/chest.87.6.715
Frova G, Quintel M. A new simple method for percutaneous tracheostomy: Controlled rotating dilation - A preliminary report. Intensive Care Med 2002;28:299-303.
DOI: https://doi.org/10.1007/s00134-002-1218-5
Brass P, Hellmich M, Ladra A, et al. Percutaneous techniques versus surgical techniques for tracheostomy. Cochrane Database Syst Rev 2016;7:CD008045.
DOI: https://doi.org/10.1002/14651858.CD008045.pub2
Delaney A, Bagshaw SM, Nalos M. Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis. Crit Care 2006;10:R55.
DOI: https://doi.org/10.1186/cc4887
Klotz R, Probst P, Deininger M, et al. Percutaneous versus surgical strategy for tracheostomy: a systematic review and meta-analysis of perioperative and postoperative complications. Langenbecks Arch Surg 2018;403:137-49.
DOI: https://doi.org/10.1007/s00423-017-1648-8
Bewsher MS, Adams AM, Clarke CWM, et al. Evaluation of a new percutaneous dilatational tracheostomy set. Anaesthesia 2001;56:859-64.
DOI: https://doi.org/10.1046/j.1365-2044.2001.01914.x
Sarani B, Kinkle W, Reilly P. Pitfalls in percutaneous dilational tracheostomy using the Ciaglia one-step technique. South Med J 2008;101:297-302.
DOI: https://doi.org/10.1097/SMJ.0b013e318164dc78
Byhahn C, Wilke HJ, Halbig S, et al. Percutaneous tracheostomy: ciaglia blue rhino versus the basic ciaglia technique of percutaneous dilational tracheostomy. Anesth Analg 2000;91:882-6.
DOI: https://doi.org/10.1097/00000539-200010000-00021
Lerner AD, Yarmus L. Percutaneous dilational tracheostomy. Clin Chest Med 2018;39:211-22.
DOI: https://doi.org/10.1016/j.ccm.2017.11.009
Plata P, Gaszynski T. Ultrasound-guided percutaneous tracheostomy. Anaesthesiol Intensive Ther 2019;51:126-32.
DOI: https://doi.org/10.5114/ait.2019.86277
Ghotbi Z, Estakhr M, Nikandish M, Nikandish R. A modified technique for percutaneous dilatational tracheostomy. J Intensive Care Med 2023;38:878-83.
DOI: https://doi.org/10.1177/08850666231199005
Kataria S, Hanssen D, Kassem M, et al. Fatal acute airway obstruction during bronchoscopy-guided percutaneous tracheostomy: an analysis of a new complication. Cureus 2023;15:e43593.
DOI: https://doi.org/10.7759/cureus.43593
Bini G, Russo E, Antonini MV, et al. Impact of early percutaneous dilatative tracheostomy in patients with subarachnoid hemorrhage on main cerebral, hemodynamic, and respiratory variables: A prospective observational study. Front Neurol 2023;14:1105568.
DOI: https://doi.org/10.3389/fneur.2023.1105568
Kumar A, Kohli A, Kachru N, et al. Fiber-optic bronchoscope-guided vs mini-surgical technique of percutaneous dilatational tracheostomy in intensive care units. Indian J Critical Care Med 2021;25:1269-74.
DOI: https://doi.org/10.5005/jp-journals-10071-24021
Russo E, Antonini MV, Sica A, et al. Infection-related ventilator-associated complications in critically ill patients with trauma: a retrospective analysis. Antibiotics (Basel) 2023;12:176.
DOI: https://doi.org/10.3390/antibiotics12010176
How to Cite
Scognamiglio, G., Gambetti, G., Sica, A., Bergamini, C., & Perini, G. (2024). Retroversion bronchoscopy: an innovative approach to percutaneous dilatational tracheostomy and more. Acute Care Medicine Surgery and Anesthesia, 2(1). https://doi.org/10.4081/amsa.2024.43
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
