| Minimal Invasive Translaryngeal Tracheostomy after Open Heart Surgery. |
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Hyun Soo Moon, Woo Seog Sim, Young Tak Lee |
1Department of Anesthesiology, Sejong General Hospital, Puchon, Korea.
2Department of Thoracic Surgery, Sejong General Hospital, Puchon, Korea. |
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| Abstract |
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Open tracheostomy has been indicated for patients who require prolonged mechanical ventilation or respiratory care in order to avoid lots of complications during long-term endotracheal intubation. Because there are a number of disadvantages and serious complications in standard open tracheostomy, a simpler, safe and minimally invasive procedure such as percutaneous dilatational tracheostomy (PDT) and translaryngeal tracheostomy (TLT) were introduced as an appropriate procedure that can be administered at bedside. In terms of prevention of complications, minimal invasive tracheostomy techniques are more advisable for post open heart surgery patients. After two failed attempts at respirator weaning, we experienced a successful TLT for a 71-year-old male patient with intractable post CABG pneumonia post-op 15 days in an intensive care unit. During and post-TLT courses were not eventful. The cannula was removed 2 weeks after TLT and the patient was subsequently discharged to ward. |
| Key Words:
Surgery: tracheostomy; translaryngeal |
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