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Clinical Challenges in Otolaryngology
February 2001

Percutaneous Tracheotomy: Has Its Time Arrived?

Author Affiliations

Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Otolaryngol Head Neck Surg. 2001;127(2):221-223. doi:10.1001/archotol.127.2.221

Percutaneous tracheotomy offers a safe and effective alternative to conventional open tracheotomy for the management of intubated patients in the intensive care unit (ICU).

Ninety years have passed since the landmark article by Chevalier Jackson1 standardizing the method of open tracheotomy. During this time, open tracheotomy has remained relatively unchallenged in its safety and efficacy. Recently, however, percutaneous tracheotomy has been proposed as an alternative to the conventional open technique. As experience has accumulated with the percutaneous approach, increasing numbers of physicians in ICUs now embrace this technique.