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Percutaneous Tracheotomy May Be Useful in Both Surgical and Intensive Care Settings, but Is No Replacement for the Open Procedure
Arch Otolaryngol Head Neck Surg. 2001;127:225-226.
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A properly placed tracheotomy tube is a safe and effective means to
control the airway in patients who require prolonged ventilatory support or
have significant upper airway obstruction. Compared with prolonged endotracheal
intubation, a tracheotomy tube provides considerably more patient comfort,
greatly facilitates airway care, and increases the options of appropriate
health care settings where patients can be treated and their conditions
managed.
Figure appears in full text version.
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Two of the time-honored hallmarks of properly performed surgical procedures
are the maintenance of good exposure and good control. Historically, surgeons
have been reluctant to accept new techniques that severely violate either
of these tenets. The introduction of percutaneous tracheotomy has been no
exception. The review article by Bikhazi very nicely summarizes the high points
of the controversy that exists at the present time between advocates of percutaneous
tracheotomy and open tracheotomy techniques. The selection of a particular
technique to accomplish tracheotomy tube . . . [Full Text of this Article]
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Arch Otolaryngol Head Neck Surg. 2001;127(2):221-223.
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