Suspension laryngoscopy-assisted percutaneous dilatational tracheostomy - 14/01/21

Doi : 10.1016/j.anorl.2020.06.024

M. Moulin ^a, P.F. Castellanos ^b,^{^{1
These two authors contributed equally to this work.}}, I. Atallah ^a,^c,^d,^⁎,^{^{1
These two authors contributed equally to this work.}}
^a Clinique universitaire d’ORL et chirurgie cervico-faciale, CHU Grenoble Alpes, BP 217, 38043 Grenoble cedex 09, France
^b Otolaryngology-Head & Neck Surgery, Northern Light Health Medical Center, Bangor, ME 04401-3073, USA
^c Faculté de médecine, université Grenoble Alpes, Domaine de la Merci, BP 170, 38042 Grenoble cedex 9, France
^d UGA/UMR/CNRS 5309/Inserm 1209, Institut pour l’Avancée des biosciences, Site Santé Allée des Alpes, 38700 La Tronche, France

^⁎Corresponding author. Clinique universitaire d’ORL et chirurgie cervico-faciale, CHU Grenoble Alpes, BP 217, 38043 Grenoble cedex 09, France.Clinique universitaire d’ORL et chirurgie cervico-faciale, CHU Grenoble AlpesBP 217Grenoble cedex 0938043France

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Abstract

We describe an endoscopic-guided, suspension laryngoscopy-assisted percutaneous dilatational tracheostomy technique, which can be performed by all otolaryngologists and is suitable for any patient requiring tracheostomy. It can be performed in the context of elective surgery or as an emergency procedure. This technique was developed using suspension laryngoscopy and ENT endoscopy equipment, as well as a percutaneous dilatational tracheostomy kit. It has the advantage of ensuring optimal control of the patient's ventilation and haemostasis throughout the procedure. The good quality endoscopic vision and easy access to the airway provided by suspension laryngoscopy allow tracheostomy to be performed under optimal safety conditions.

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Keywords : Suspension laryngoscopy, Tracheostomy, Percutaneous dilatational tracheostomy, Endoscopy