Percutaneous dilation tracheostomy guided by rigid bronchoscopy

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ID: 318167
2026
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Ranked #22 of 24 articles by views in Multimedia Manual of Cardio-Thoracic Surgery

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Abstract
Herein, we described a redo tracheostomy in a patient with a large mediastinal goitre. A percutaneous dilation tracheostomy was performed under rigid bronchoscopy. Rigid bronchoscopy provided several advantages compared with flexible bronchoscopy. It suctioned significant blood and secretions, secured the airway and ensured adequate ventilation during the entire procedure. Technically, the rigid barrel displacing the trachea anteriorly facilitated the insertion of dilators and the tracheostomy cannula and reduced the risk of airway injury. This strategy was safe and feasible and could turn out to be useful in patients with difficult airways where standard percutaneous dilation tracheostomy is difficult to perform.
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openalex_W7165539810 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Alfonso Fiorelli, Massimo Ciaravola, Francesco Coppolino, Giovanni Liguori, Angela Iovine, Martina Robustelli, Domenico Carbone, Fausto Ferraro
Journal Multimedia Manual of Cardio-Thoracic Surgery
Year 2026
DOI
10.1510/mmcts.2026.024
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