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Percutaneous dilatational tracheotomy: Ciaglia method

  • Nasir I. Bhatti
    Correspondence
    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.
    Affiliations
    Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University School of Medicine, Johns Hopkins Outpatient Center, Baltimore, Maryland.
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      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.

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