RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127274528 T1 TRACHEOTOMY, PERCUTANEOUS DILATIONAL T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127274528 RD 2024/03/28 AB Indications for percutaneous dilational tracheotomy (PDT) are similar to those for open tracheotomy (OT) and include providing a portal for pulmonary toilet in debilitated patients or patients with neuromuscular disease, and providing a means for prolonged ventilatory support. Similar to OT, PDT should be considered in patients requiring mechanical ventilation 7 to 10 days following initial intubation. If prolonged intubation is expected based on patient circumstances (high spinal cord or traumatic brain injury), earlier tracheotomy may be considered.