Percutaneous dilatational tracheotomy

  1. Local anesthesia of the surgical field

    Video
    Local anesthesia of the surgical field
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    Anesthetize the skin at the planned tracheotomy site with mepivacaine 1% and 1:100,000 epinephrine (about 5 ml).

    The skin will become ischemic and turn white; this will lessen any bleeding.

Bronchoscopic overview

Tracheal assessment Pull back the ventilation tube to the level of the vocal cords.Transilluminate

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general and visceral surgery

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