Percutaneous tracheotomy

Abstract

Percutaneous dilation tracheostomy (PDT) has rapidly become one of the most commonly performed procedures in the ICU. In experienced hands, it has been shown to be both safe and efficient procedure in the ICU. Adequate training, appropriate patient screening, and preprocedure planning are critical aspects surrounding a successful PDT Program. In this chapter, the history of tracheostomy, relevant anatomy, indications and contraindications, relevant timing, as well as the surgical techniques used for PDT are reviewed. As with any procedure, it should be performed by experienced personnel with additional expertise in airway management. PDT is a safe and effective procedure with an increasing role in the ICU.