One case of severe tracheal stenosis treated by ultrasound-guided percutaneous tracheotomy
-
Abstract: Ultrasound-guided percutaneous tracheotomy(PDT) has become the first choice for critical patients, especially who has severe tracheal stenosis. Here, we report a case with severe tracheal stenosis due to thyroid carcinoma, adopted the method of PDT combining the short axis with the long axis under ultrasound guidance. First, the trachea midline was determined with the short axis, and the long axis view was obtained by rotating 90°, which was consistent with the midline marker. Then, PDT was carried out under the long axis guidance. The procedure was successful with little bleeding.
-
Key words:
- ultrasound-guide /
- percutaneous tracheotomy /
- tracheal stenosis
-
-
[1] 高建军,王林华,李敏敏,等.经皮扩张气管切开术在重症医学科的应用[J].江苏医药,2014,40(16):1943-1944.
[2] 韩旭东,徐建如,葛志华,等.经皮扩张气管切开术在重症患者人工气道建立中的应用[J].临床麻醉学杂志,2009,25(8):710-711.
[3] 徐建如,韩旭东,葛志华,等.经皮穿刺气管切开术救治重度气管狭窄一例[J].江苏医药,2008,34(9):972.
[4] Grensemann J,Eichler L,Kähler S,et al.Bronchoscopy versus an endotracheal tube mounted camera for the peri-interventional visualization of percutaneous dilatational tracheostomy-a prospective,randomized trial(VivaPDT)[J].Crit Care,2017,21(1):330.
[5] Alansari M,Alotair H,Al AZ,et al.Use of ultrasound guidance to improve the safety of percutaneous dilatational tracheostomy:a literature review[J].Crit Care,2015,19:229.
[6] Song J,Xuan L,Wu W,et al.Comparison of Percutaneous Dilatational Tracheostomy Guided by Ultrasound and Bronchoscopy in Critically Ill Obese Patients[J].J Ultrasound Med,2018,37(5):1061-1069.
[7] Dinh VA,Farshidpanah S,Lu S,et al.Real-time sonographically guided percutaneous dilatational tracheostomy using a long-axis approach compared to the landmark technique[J].J Ultrasound Med,2014,33(8):1407-1415.
[8] Kupeli I,Nalbant RA.Comparison of 3 techniques in percutaneous tracheostomy:Traditional landmark technique;ultrasonography-guided long-axis approach;and short-axis approach-Randomised controlled study[J].Anaesth Crit Care Pain Med,2018,37(6):533-538.
-
计量
- 文章访问数: 76
- PDF下载数: 22
- 施引文献: 0