Percutaneous dilatational tracheotomy: Ciaglia method

  • Nasir I. Bhatti
    Address reprint requests and correspondence: Nasir I. Bhatti, MD, Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University School of Medicine, Room 6241, Johns Hopkins Outpatient Center, 601 N. Caroline Street, Baltimore, MD 21287.
    Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University School of Medicine, Johns Hopkins Outpatient Center, Baltimore, Maryland.
    Search for articles by this author
      Percutaneous bedside dilatational tracheotomy has become a safe alternative to open tracheotomy. Based on the widely practiced Seldinger technique, the Ciaglia procedure can be a useful addition to an otolaryngologist’s armamentarium. Adherence to a rigid protocol including considerations of contraindications, use of a team approach, and bronchoscopic guidance will ensure optimal outcome.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Operative Techniques in Otolaryngology-Head and Neck Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Goldenberg D.
        • Bhatti N.
        Management of the impaired airway in the adult.
        in: Cummings C.W. Otolaryngology: Head & Neck Surgery. Mosby, St. Louis2005: 2441-2453
        • Bhatti N.
        • Mirski M.
        • Tatlipinar A.
        • Koch W.M.
        • Goldenberg D.
        Reduction of complication rate in percutaneous dilation tracheostomies.
        Laryngoscope. 2007; 117: 172-175
        • Seldinger S.I.
        Catheter replacement of the needle in percutaneous arteriography.
        Acta Radiol. 1953; 39: 368-376
        • Ciaglia P.
        • Firsching R.
        • Syniec C.
        Elective percutaneous dilatational tracheostomy.
        Chest. 1985; 87: 715-719
        • Marelli D.
        • Paul A.
        • Monilidis S.
        • et al.
        Endoscopic guided percutaneous tracheostomy: Early results of a consecutive trial.
        J Trauma. 1990; 30: 433-435
        • Hoehne F.
        • Ozaeta M.
        • Chung R.
        Routine chest X-ray after percutaneous tracheostomy is unnecessary.
        Am Surg. 2005; 71: 51-53