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Percutaneous Tracheostomy in Critically ill patients

Percutaneous dilatational tracheostomy (PDT) is a commonly performed procedure in critically sick patients. It can be safely performed bedside by intensivists. This has resulted in decline in the use of surgical tracheostomy in intensive care unit (ICU) except in a few selected cases. Most common indication of tracheostomy in ICU is needed for prolonged ventilation. About 10% of patients requiring at least 3 days of mechanical ventilator support get tracheostomized during ICU stay. The ideal timing of PDT remains undecided at present. Contraindications and complications become fewer with increase in experience. Various methods of performing PDT have been discovered in the last two decades. Preoperative work up, patient selection and post tracheostomy care form key components of a successful PDT. Bronchoscopy and ultrasound have been found to be useful procedural adjuncts, especially in presence of unfavorable anatomy.

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Dr Hazem Lashin​

 FRCP FFICM FHEA PhD Consultant in Critical Care Medicine Faculty Tutor in Intensive Care Medicine Clinical Lead for High Dependency Unit Barts Heart Centre, St Bartholomew’s Hospital West Smithfield, London, EC1A 7BE

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Dr Hazem Lashin​'s Talks on Assimilate

webinar
Dr Hazem Lashin​
  • 11th-October-2022, TIME : 5:00PM - 6:00PM GST
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Percutaneous dilatational tracheostomy (PDT) is a commonly performed procedure in critically sick patients. It can be safely performed bedside by intensivists. This has resulted in decline in the use of surgical tracheostomy in intensive care unit (ICU) except in a few selected cases. Most common indication of tracheostomy in ICU is needed for prolonged ventilation. About 10% of patients requiring at least 3 days of mechanical ventilator support get tracheostomized during ICU stay. The ideal timing of PDT remains undecided at present. Contraindications and complications become fewer with increase in experience. Various methods of performing PDT have been discovered in the last two decades. Preoperative work up, patient selection and post tracheostomy care form key components of a successful PDT. Bronchoscopy and ultrasound have been found to be useful procedural adjuncts, especially in presence of unfavorable anatomy.

webinar
Dr Hazem Lashin​
  • 11th-October-2022, TIME : 5:00PM - 6:00PM GST
  • 0

Percutaneous dilatational tracheostomy (PDT) is a commonly performed procedure in critically sick patients. It can be safely performed bedside by intensivists. This has resulted in decline in the use of surgical tracheostomy in intensive care unit (ICU) except in a few selected cases. Most common indication of tracheostomy in ICU is needed for prolonged ventilation. About 10% of patients requiring at least 3 days of mechanical ventilator support get tracheostomized during ICU stay. The ideal timing of PDT remains undecided at present. Contraindications and complications become fewer with increase in experience. Various methods of performing PDT have been discovered in the last two decades. Preoperative work up, patient selection and post tracheostomy care form key components of a successful PDT. Bronchoscopy and ultrasound have been found to be useful procedural adjuncts, especially in presence of unfavorable anatomy.