Nur fatmawati
16611047
Prophylactic Percutaneous Dilatational Cricothyrotomy , prior to surgical tracheostomy case report.
Tracheotomy is a surgical procedure
which consists of making an incision on the anterior aspect of
the neck and opening a direct airway through an incision in the trachea. The
resulting stoma, or tracheostomy, can serve independently
as an airway or as a site
for a tracheal tube or tracheostomy tube to be inserted
this tube allows a person to breathe without the
use of the nose or mouth. This technique
involves a series of sequential dilatations using a set of seven dilators of
progressively larger size. The next widely used technique was developed in
1989 by Bill Griggs, an Australian intensive care specialist. This technique
involves the use of a specially modified pair of forceps with a central hole
enabling them to pass over a guidewire enabling the performance of the main
dilation in a single step. Since then a number of other techniques have
been described. In 1995, Fantoni developed a translaryngeal approach of percutaneous
tracheostomy which involves passing a guidewire through the larynx and over it
railroading a tracheostomy tube with a cone shaped structure. It is also known
as the In-and-out procedure.
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