Microendoscopic Ultrasound-Guided Percutaneous Tracheostomy (MUGPT): A Case Series Describing a Novel Technique for Performing Percutaneous Tracheostomy.
Mayyas M MsheikAmro F KhaliliMustapha A NahleChakib M AyoubYara M Al GhabourHachem Y Abdul-KaderMarwan S RizkPublished in: Case reports in critical care (2023)
A percutaneous tracheostomy is a common surgical procedure done in intensive care. Several different techniques have been described. Recently, the addition of bronchoscopy or ultrasound has been advocated to decrease the risks and complications associated with the procedure; however, both aids used alone, bronchoscopy or ultrasound, have some drawbacks and pitfalls. In this manuscript, we describe a new technique implementing a new technology, Microendoscopy coupled with ultrasound to perform percutaneous dilation tracheostomy MUGPT. MUGPT relies on dual real-time feedback microendoscopy and ultrasound to perform percutaneous dilation tracheostomy. This technique helps reduce the risk of bleeding, airway loss, tracheal wall injury, tracheal ring fracture, damage to adjacent structures, pneumothorax, pneumomediastinum, subcutaneous emphysema, false placement, hypoxia, carbon dioxide retention bronchospasm, cardiac dysrhythmias, and cost reduction. Methods . This is a case series of 6 patients who underwent single-step percutaneous dilation tracheostomy using the MUGPT technique. All the patients were in ICU and were candidates for tracheostomy. Intraoperative data collection, vital signs, oxygen saturation, and end-tidal CO2 were measured. No postoperative or intraoperative complications were documented. Conclusion . Microendoscopic ultrasound-guided percutaneous tracheostomy (MUGPT) is a promising technique with minimal complications. It is a procedure that can be performed and taught easily to Junior physicians and is a lifesaver in difficult cases.
Keyphrases
- ultrasound guided
- mechanical ventilation
- fine needle aspiration
- minimally invasive
- end stage renal disease
- carbon dioxide
- ejection fraction
- chronic kidney disease
- intensive care unit
- newly diagnosed
- magnetic resonance imaging
- prognostic factors
- patients undergoing
- acute respiratory distress syndrome
- radiofrequency ablation
- primary care
- peritoneal dialysis
- risk factors
- oxidative stress
- high resolution
- machine learning
- mass spectrometry
- extracorporeal membrane oxygenation
- big data
- patient reported
- idiopathic pulmonary fibrosis
- contrast enhanced ultrasound
- cystic fibrosis
- lung function
- air pollution