Successful percutaneous tracheostomy via puncture through the thyroid isthmus

Tracheostomy is one of the most frequently performed procedures in intensive care units. Bedside percutaneous tracheostomy has become an increasingly popular option to standard open tracheostomy. Several contraindications for percutaneous tracheostomy, including an enlarged thyroid isthmus, have bee...

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Bibliographic Details
Published in:Respirology case reports 2014-06, Vol.2 (2), p.57-60
Main Authors: Duann, Chi‐Wei, Hsieh, Min‐Shiau, Chen, Pin‐Tarng, Chou, Hsiao‐Ping, Huang, Chien‐Sheng
Format: Article
Language:English
Subjects:
Case Reports
Percutaneous tracheostomy
thyroid isthmus
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Summary:Tracheostomy is one of the most frequently performed procedures in intensive care units. Bedside percutaneous tracheostomy has become an increasingly popular option to standard open tracheostomy. Several contraindications for percutaneous tracheostomy, including an enlarged thyroid isthmus, have been described. However, as experience with this technique has increased, most of the described contraindications appear to be relative rather than absolute, provided the procedure is performed by an experienced practitioner. Herein we present a case of an unavoidable direct puncture of the thyroid isthmus during a percutaneous tracheostomy. The procedure was performed smoothly, and no complications occurred. Stay away from the thyroid gland is the good standard when performing an open tracheostomy. Otherwise, this rule of thumb might be challenged by the tamponade effect which created by PDT.
ISSN:2051-3380
2051-3380
DOI:10.1002/rcr2.48