Localization of Tracheal Space: Innovation of an Available Technique

Background: Percutaneous dilatational tracheotomy (PDT) procedure is becoming popular for its safety, cost effectiveness, better stoma, and less dissection and occurrence of damage to tissue; but it is known a relatively expensive procedure, that is why we conducted this study. Research Question: Our question was whether this technique is feasible and what possible side effect is expected. Study Design and Method: Eighty six patients, aged more than 18 years, without coagulation disorder, unstable spine or normal airway anatomy were sedated and a new technique was done to insert tracheostomy tube. Then operation time, side effects and success of the method was recorded. Results: The mean procedure time was 10±2 min. The majority of the percutaneous tracheotomies were performed without any adverse effects except in 3 cases and the procedure was successful in all but 2 patients. The most frequent acute complication was bleeding and pneumomediastinoma and pneumothorax. Interpretation: PDT via this technique is a safe bedside procedure that can be performed with very low morbidity by skilled practitioners.