• Crit Care · May 2015

    Review

    Use of ultrasound guidance to improve the safety of percutaneous dilatational tracheostomy: a literature review.

    • Mariam Alansari, Hadil Alotair, Zohair Al Aseri, and Mohammed A Elhoseny.
    • Department of Critical Care Medicine, King Khalid University Hospital, College of Medicine, King Saud University, PO Box: 2925 (95), Riyadh, 11461, Kingdom of Saudi Arabia. icu_mariam@yahoo.com.
    • Crit Care. 2015 May 18; 19: 229.

    AbstractPatients in ICUs frequently require tracheostomy for long-term ventilator support, and the percutaneous dilatational tracheostomy (PDT) method is preferred over surgical tracheostomy. The use of ultrasound (US) imaging to guide ICU procedures and interventions has recently emerged as a simple and noninvasive tool. The current evidence regarding the applications of US in PDT is encouraging; however, the exact role of US-guided dilatational tracheostomy (US-PDT) remains poorly defined. In this review, we describe the best available evidence concerning the safety and efficacy of US-PDT and briefly delineate the general principles of US image generation for the airway and of US-PDT procedures.

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