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Percutaneous tracheostomy

  1. Anesthesia of the Surgical Site

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    Anesthesia of the Surgical Site
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    Infiltration of the skin in the area of the planned puncture site with Scandicain 1% and Epinephrine 1:100,000 (approx. 5 ml).
    The skin becomes ischemically white, thus reducing bleeding.

  2. Orienting Bronchoscopy

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    Orienting Bronchoscopy
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    Assessment of the trachea. Withdrawal of the tube up to the level of the vocal cords.
    The puncture site is marked endoluminally with the light of the bronchoscope (transillumination).

Puncture of the Trachea and Insertion of the Seldinger Wire

The puncture is performed strictly midline, in a slightly caudal direction. The simultaneous bronch

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general and visceral surgery

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