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Has Its Time Arrived?

Arch Otolaryngol Head Neck Surg. 2001;127:221-223.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis: Percutaneous tracheotomy offers a safe and effective alternative to conventional open tracheotomy for the management of intubated patients in the intensive care unit (ICU).

BACKGROUND

Ninety years have passed since the landmark article by Chevalier Jackson¹ standardizing the method of open tracheotomy. During this time, open tracheotomy has remained relatively unchallenged in its safety and efficacy. Recently, however, percutaneous tracheotomy has been proposed as an alternative to the conventional open technique. As experience has accumulated with the percutaneous approach, increasing numbers of physicians in ICUs now embrace this technique.

Figure appears in full text version. Nadim B. Bikhazi, MD

While the initial description of the percutaneous approach dates back to the 1600s, the modern-day account is attributed to Shelden et al,² who in 1955 proposed the term and the procedure's technical description. This consisted of a slot needle insertion into the trachea followed by a cutting trocar to form the tracheotomy. In 1969, Toye and Weinstein³ . . . [Full Text of this Article]

PRO

CON

BOTTOM LINE



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