Percutaneous Dilatational Tracheostomy
Percutaneous Dilatational Tracheostomy (PDT) is a common bedside procedure for prolonged mechanical ventilation in the adult critical care unit. Fibreoptic bronchoscopy (FOB) is recommended for routine use during a PDT procedure as it provides a direct view and enhances patient safety
Worried about damaging your bronchoscope during PDT?
aScope 4 Broncho is the ideal alternative to reusable scopes for visual monitoring during PDT procedures.
The light-weight design of aScope 3 makes it easy to handle and the portability of the aScope system is convenient for bedside procedures in the intensive care unit.
aScope offers a clear endoscopic view, allowing the operator to verify the accurate placement of the needle, guidewire, and tracheostomy tube reducing the risk of patient harm.
The single-use concept has clear cost advantages as it eliminates all repair costs normally associated with the use of reusable bronchoscopes for PDT procedures. Further, it increases patient safety as there is no risk of cross-contamination between patients.
aScope 3 for endoscopic guidance during PDT
aScope 3 offers a clear endoscopic view, allowing the operator to verify the accurate placement of the guidewire, needle and tracheostomy tube preventing damage to the patient.
Bronchoscopy guidance during PDT is likely to improve patient safety
Bronchoscopy guidance during PDT is likely to improve patient safety as it can guide to correct placement of the introducer needle, the guidewire, as well as the cannula during the procedure.
With bronchoscopy guidance severe complications such as perforation of the tracheal wall may be avoided.
Bronchoscopy guidance however is only one of several factors to improve patient safety during PDT.
Difficulty in managing the airway including percutaneous tracheostomy placement was the single most important cause of major anaesthesia related morbidity and mortality disclosed in the extensive NAP41 review from March 2011. Based on the findings it was recommended in the NAP4 report that a flexible bronchoscope should be immediately available on the ICU to assist with percutaneous tracheostomy placement as well as for regular checking of the position of tracheostomy tubes.
Bronchoscopy guidance during the PDT procedure enhances patient safety
After the PDT procedure, correct placement of the tracheostomy tube is verified.