Three cases of tracheostomy with superior thyroid approach ―cervical vessel proximity cases, a hybrid tracheostomy with the AdjustFit<sup>®</sup> and BLUperc<sup>®</sup>

DOI
  • Matsunaga Hiroki
    Department of Tertiary Emergency Medical Center （Trauma and Critical Care）, Tokyo Metropolitan Bokutoh Hospital
  • Shimizu Yusuke
    Department of Tertiary Emergency Medical Center （Trauma and Critical Care）, Tokyo Metropolitan Bokutoh Hospital
  • Yanagi Shintaro
    Department of Tertiary Emergency Medical Center （Trauma and Critical Care）, Tokyo Metropolitan Bokutoh Hospital
  • Ohasi Keiko
    Department of Tertiary Emergency Medical Center （Trauma and Critical Care）, Tokyo Metropolitan Bokutoh Hospital
  • Yamakawa Jun
    Department of Tertiary Emergency Medical Center （Trauma and Critical Care）, Tokyo Metropolitan Bokutoh Hospital
  • Okura Yoshihiro
    Department of Tertiary Emergency Medical Center （Trauma and Critical Care）, Tokyo Metropolitan Bokutoh Hospital
  • Sugiyama Kazuhiro
    Department of Tertiary Emergency Medical Center （Trauma and Critical Care）, Tokyo Metropolitan Bokutoh Hospital

Bibliographic Information

Other Title
  • 甲状腺頭側アプローチによる気管切開術を施行した3例―頸部血管近接例に対するアジャストフィット<sup>®</sup>を使用したハイブリッド法―

Abstract

Tracheostomy, which is often performed in the emergency department, is associated with lethal complications, such as arterial injury and tracheostomy vascular fistula. We performed a hybrid tracheostomy with the AdjustFit® and BLUperc® behind the thyroid gland to avoid direct contact of the innominate and carotid arteries. In the three cases we describe herein, the innominate or common carotid artery was close to the caudal side of the thyroid gland. Therefore, we dissected the thyroid gland from the head side to the back and punctured the tracheal tube between the second and third tracheal cartilages. In both cases, a small incision （20 mm） was made without any complications. As the thyroid gland is between the tracheal tube and the adjacent artery, this technique is safe and useful for treating cervical diseases that are in close proximity to blood vessels.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390861548954197120
  • DOI
    10.50840/jjacs.13-27
  • ISSN
    2436102X
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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