| 摘要 |
FIELD: medicine.SUBSTANCE: distance from the suprasternal notch to the annular cartilage is pre-measured. An expected tracheostomy region is palpated. If the measured distance is less than 2-2.5 cm, and/or the interchondral space is not palpated below the first cartilage ring, a combination tracheostomy technique is applied. The skin is incised. The tissues adjoining the trachea are dissected with the use of forceps with a guide port. Great vessels crossing or being in close proximity to the expected tracheostoma site are ligatured. An endovideoscope-controlled metal guide is brought into the trachea along the mid-line through a needle. An intravenous dilator is used for primary dilation. A tracheostomic wound is formed. A tracheostomic tube is inserted.EFFECT: safer tracheostomy, reduced manipulation length by selecting the patients taking into account all anatomical positional aspects of the trachea and surrounding tissues, ensuring bronchoscopically controlled manipulations, and using the intravenous dilator.2 cl, 1 ex |
