Successful percutaneous tracheostomy via puncture through the thyroid isthmus

Respirology Case Reports

Chi-Wei Duann³  Min-Shiau Hsieh³  Pin-Tarng Chen¹  Hsiao-Ping Chou² 

[1] Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan;Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan;Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan

关键词: Percutaneous tracheostomy;    thyroid isthmus;   

DOI  :  10.1002/rcr2.48

来源: Wiley

【 摘 要 】

Abstract

Tracheostomy is one of the most frequently performed procedures in intensive care units. Bedside percutaneous tracheostomy has become an increasingly popular option to standard open tracheostomy. Several contraindications for percutaneous tracheostomy, including an enlarged thyroid isthmus, have been described. However, as experience with this technique has increased, most of the described contraindications appear to be relative rather than absolute, provided the procedure is performed by an experienced practitioner. Herein we present a case of an unavoidable direct puncture of the thyroid isthmus during a percutaneous tracheostomy. The procedure was performed smoothly, and no complications occurred.

【 授权许可】

CC BY-NC   
© 2014 The Authors. Respirology Case Reports published by John Wiley & Sons Ltd on behalf of The Asian Pacific Society of Respirology.

Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.