Percutaneous dilatational tracheostomy: Review of technique and evidence for its use

Srinivas M. Susarla*, Zachary S. Peacock, Hasan B. Alam

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations

Abstract

Tracheostomy is a technique for airway management commonly used by surgeons who care for critically ill patients. Patients with traumatic facial injuries, severe odontogenic infections, and head and neck malignancies are often recipients of tracheostomies. As such, the oral and maxillofacial surgeon who frequently treats such patients should be well-trained in tracheostomy placement. For decades, the standard technique for tracheostomy was the open surgical technique. However, during the past 20 years, the use of percutaneous dilatational tracheostomy has increased. The purpose of the present report is to review the percutaneous dilatational tracheostomy technique, describe the use of intensive care units as proxies for the operating room, and review the available evidence comparing percutaneous dilatational tracheostomy to open tracheostomy.

Original languageEnglish (US)
Pages (from-to)74-82
Number of pages9
JournalJournal of Oral and Maxillofacial Surgery
Volume70
Issue number1
DOIs
StatePublished - Jan 2012

Funding

This work was supported by the Oral and Maxillofacial Surgery Foundation Fellowship in Clinical Investigation (to S.M.S.), the Massachusetts General Hospital Department of Oral and Maxillofacial Surgery Education and Research Fund (to S.M.S. and Z.S.P.), and the Center for Applied Clinical Investigation (to S.M.S.).

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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