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Master Thesis

Technique chirurgicale et évaluation de la trachéotomie percutanée en laryngosuspension sous contrôle endoscopique

Abstract : Objective: To describe the technique and outcomes of percutaneous tracheostomy under laryngosuspension. Method: The procedure is performed under general anesthesia and laryngosuspension. An 8.5 oral endotracheal tube is inserted and the cuff is inflated in the supraglottis, allowing access to the whole trachea and subglottis. The tube is taped to the laryngoscope. A rigid endoscope is inserted in the endotracheal tube through a swivel connector connected to the tube and the ventilation circuit. Percutaneous tracheostomy kit is used to perform dilatational tracheostomy at the desired level of the trachea under direct visual endoscopic control. Results: Fourty height patients underwent percutaneous tracheostomy under laryngosuspension. Thirty two cases were performed in an emergency due to airway obstruction. More than fifty percent of patients were considered high risk by virtue of one or more of the following: head and neck cancer, morbid obesity, prior neck surgery, prior neck radiotherapy. The complication rate was 14,7% (n=7), with 6,3% (n=3) of major complications. Conclusion: Percutaneous tracheostomy under laryngosuspension has the advantage of optimal control of the patient ventilation and hemostasis during the procedure. That permits broad guidance of percutaneous tracheostomy.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03216037
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Monday, May 3, 2021 - 4:47:23 PM
Last modification on : Wednesday, May 5, 2021 - 3:23:33 AM
Long-term archiving on: : Wednesday, August 4, 2021 - 7:43:12 PM

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  • HAL Id : dumas-03216037, version 1
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Mathieu Moulin. Technique chirurgicale et évaluation de la trachéotomie percutanée en laryngosuspension sous contrôle endoscopique. Médecine humaine et pathologie. 2020. ⟨dumas-03216037⟩

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