ArticleAcute and critical care2021
Safety and feasibility of hybrid tracheostomy.
Article in Acute and critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Designing a hybrid surgical ICU to avoid intrahospital transport in selected critically Ill patients: the CUHK-SZ institutional concept.World journal of emergency surgery : WJES · 2026Article
- Safe (re)tracheostomy in critically ill patients with previous neck surgery using the minimally-invasive tracheostomy approach.JTCVS techniques · 2026Article
- Difficult Respiratory Weaning after Cardiac Surgery: A Narrative Review.Journal of clinical medicine · 2023Review
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous dilatational tracheostomy (PDT) is widely used in intensive care units, but this conventional method has some disadvantages, such as requirement of a lot of equipment and experts at the site. Especially, in situations where the patient is isolated due to an infectious disease, difficulties in using the equipment may occur, and the number of exposed persons may increase. In this paper, we introduce hybrid tracheostomy that combines the advantages of surgical tracheostomy and PDT and describe our experiences.
methodsData from 55 patients who received hybrid tracheostomy without bronchoscopy from January 2020 to February 2021 were collected and reviewed retrospectively. Hybrid tracheostomy was performed at the bedside by a single thoracic surgeon. The hybrid tracheostomy method was as follows: after the skin was incised and the trachea was exposed, only the extent of the endotracheal tube that could not be removed was withdrawn, and then tracheostomy was performed by the Seldinger method using a PDT kit.
resultsThe average age was 66.5 years, and the proportion of men was 69.1%. Among the patients, 21.8% were taking antiplatelet drugs and 14.5% were taking anticoagulants. The average duration of the procedure was 13.3 minutes. There was no major bleeding, and there was one case of paratracheal placement of the tracheostomy tube.
conclusionsIn most patients, the procedure can be safely performed without any major complications. However, patients with a short neck, a neck burn or patients who have received radiation therapy to the neck should be treated with conventional methods.
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