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Kolias S, Castana O, Kyriakopoulou M, et al. Emergency percutaneous tracheostomy in a severely burned patient with upper airway obstruction and circulatory failure. Ann Burns Fire Disasters. 2009;22(3):152-4
Kolias, S., Castana, O., Kyriakopoulou, M., Rempelos, G., Anagiotos, G., Alexakis, D., & Roussos, C. (2009). Emergency percutaneous tracheostomy in a severely burned patient with upper airway obstruction and circulatory failure. Annals of burns and fire disasters, 22(3), 152-4.
Kolias, S, et al. "Emergency percutaneous tracheostomy in a severely burned patient with upper airway obstruction and circulatory failure." Annals of burns and fire disasters vol. 22,3 (2009): 152-4.
Kolias S, Castana O, Kyriakopoulou M, Rempelos G, Anagiotos G, Alexakis D, Roussos C. Emergency percutaneous tracheostomy in a severely burned patient with upper airway obstruction and circulatory failure. Ann Burns Fire Disasters. 2009 Sep 30;22(3):152-4. PMID: 21991172; PMCID: PMC3188149.
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Ann Burns Fire Disasters. 2009 Sep 30;22(3):152-4.

Emergency percutaneous tracheostomy in a severely burned patient with upper airway obstruction and circulatory failure.

Annals of burns and fire disasters

S Kolias, O Castana, M Kyriakopoulou, G Rempelos, G Anagiotos, D Alexakis, C Roussos

Affiliations

  1. Department of Critical Care.

PMID: 21991172 PMCID: PMC3188149

Abstract

Airway inaccessibility is one of the most dreaded situations in emergency medicine. Surgical tracheostomy is not indicated in emergency situations because it takes a long time and can result in death if respiratory support cannot be provided during the procedure. Emergency percutaneous tracheostomy (PCT) was widely regarded as absolutely counterindicated. Recently, however, a number of studies have appeared on the safety and feasibility of PCT in situations regarded as presenting relative contraindications. We describe the life-saving action of Griggs' PCT in a patient with upper airway obstruction resulting from burns, smoke injuries, and unsuccessful tracheal intubation attempts. Emergency PCT using the Griggs technique was immediately performed without aseptic care, and a 9-mm internal diameter tracheostomy tube was successfully inserted in less than one minute. Griggs' PCT is a quick technique that secures an airway when tracheal intubation fails. The feasibility - in selected cases - of using an emergency Griggs' PCT, in experienced hands, rather than cricothyroidotomy or surgical tracheostomy, is recommended.

Keywords: AIRWAY; BURNED PATIENT; CIRCULATORY; EMERGENCY; FAILURE; OBSTRUCTION; PERCUTANEOUS; SEVERELY; TRACHEOSTOMY; UPPER

References

  1. Ann Thorac Surg. 2004 Mar;77(3):1045-7 - PubMed
  2. Resuscitation. 2006 Feb;68(2):301-5 - PubMed
  3. S Afr J Surg. 2007 Aug;45(3):105-6 - PubMed
  4. J Intensive Care Med. 2003 Jul-Aug;18(4):222-6 - PubMed
  5. Injury. 2008 Mar;39(3):375-8 - PubMed

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