Open surgical vs percutaneous tracheostomy скачать в хорошем качестве

Open surgical vs percutaneous tracheostomy

Percutaneous Tracheostomy - Advantages: Can be performed at bedside, avoiding risks/costs of patient transport No deep neck dissection required Lower incidence of stoma infection Lower incidence of significant bleeding Can be performed by non-surgeons with easier learning curve Open Surgical Tracheostomy: Considered the standard method for planned procedures Involves surgical dissection of neck tissues Requires removal/incision of anterior tracheal rings Placement done under direct visualization Absolute Contraindications for Percutaneous: 1. Operator inexperience 2. Infants (especially with abnormal anatomy like subglottic stenosis) 3. Insertion site infection 4. Severe/uncontrolled coagulopathy 5. Unstable cervical spine injury Percutaneous tracheostomy has become increasingly common in ICU settings over the past 20 years, likely due to its advantages in terms of reduced complications and procedural convenience. However, proper patient selection considering contraindications remains crucial for safety.