RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187823533
T1 Tracheotomy, Percutaneous Dilational
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187823533
RD 2024/04/16
AB Indications  for  percutaneous  dilational  tracheotomy  are  similar  to  those  for  open  tracheotomy.  They  include  providing  a  means  for  prolonged  ventilatory  support  and  a  portal  for  pulmonary  toilet  in  patients  who  are  unable  to  clear  their  own  secretions,  such  as  in  debilitated  or  neuromuscular  disease  patients.  Similar  to  open  tracheotomy,  percutaneous  dilational  tracheotomy  should  be  considered  in  patients  requiring  mechanical  ventilation  7–10  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.