To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Percutaneous tracheotomy (PT) is beneficial in decreasing dead space and reducing airway resistance when compared with intubation. Absolute contraindications include the need for an emergent airway or inability to intubate the patient. All current PT methods are based upon the Seldinger technique of dilators placed over a guidewire. It is recommended that PT be performed under simultaneous video bronchoscopy. Techinques for PT are: Ciaglia method (percutaneous dilating technique), Griggs technique (guidewire dilating forceps (GWDF) technique), Fantoni's technique (translaryngeal approach), and PercTwist (screw-action dilator). Two important issues specific to PT that may arise during the course of the procedure are accidental penetration of the endotracheal tube cuff with the introducer needle during initial puncture of the anterior tracheal wall and possible dislocation of the endotracheal tube. The most common immediate postoperative complication is bleeding. Long-term complications have been reported extensively in a number of studies and metaanalyses.