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Clinical Challenges
February 2001

Percutaneous Tracheotomy: Is It Time to Reconsider Our Approach?

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):223-225. doi:10.1001/archotol.127.2.223

Dr Bikhazi provides a nonbiased review of the literature regarding the status of percutaneous tracheotomy. He concludes that each surgeon must use the information to make his or her own decision regarding the safety and efficacy of this technique.

Percutaneous tracheotomy is not a new technique but was first proposed by Sheldon et al1 in 1957. This technique involved blind cannulation of the trachea with a sharp-bladed instrument and did not achieve a great deal of popularity. In 1969, Toye and Weinstein2 advocated a single dilator technique. But it was not until 1985 when Ciaglia and colleagues3 described a progressive dilational technique over a Seldinger wire that the procedure achieved acceptance.