Video of Percutaneous Tracheostomy
Aug 23, 2023
Source: Cainiu Health
Dr. Guo Xiheng
Introduction
Percutaneous tracheostomy is faster and more effective compared to conventional tracheostomy and is typically used for patients requiring prolonged mechanical ventilation support. Strict adherence to sterile techniques during the procedure is essential to prevent infection. To avoid bodily harm, it is recommended to undergo the procedure at a正规 hospital under the guidance of qualified medical professionals.
Generally, percutaneous tracheostomy is faster and more effective compared to conventional tracheostomy and is typically used for patients requiring prolonged mechanical ventilation. The specific procedure is as follows:
1. After general anesthesia, position the patient supine with a small pillow under the shoulders and the head extended backward to fully expose the trachea.
2. Select the interspace between the first and second tracheal cartilage rings or between the second and third tracheal cartilage rings as the puncture site. Make a 1–2 cm incision, dissect through the skin and fascia layer by layer, and expose the trachea.
3. Carefully incise the trachea using a scalpel to establish an airway, then insert a tracheostomy tube to ensure airway patency.
4. Secure the tracheostomy tube by tying its attached strap around the neck with a secure knot, and place gauze between the wound and the tracheostomy tube.
5. Confirm correct positioning of the tracheostomy tube and connect it to the ventilator to provide the necessary respiratory support for the patient.
Strict adherence to sterile technique during the procedure is essential to prevent infection. To avoid bodily injury, it is recommended to undergo this procedure at a正规 medical facility under the guidance of qualified physicians. Regular cleaning of the tracheostomy tube should be performed postoperatively.
