caa a22 4500 606248609 CHVBK 20210128101351.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1101-y doi (NATIONALLICENCE)springer-10.1007/s12262-014-1101-y Technical Improvements of Difficult Tracheotomy [Elektronische Daten] [Yongzhong Fan, Jundan Cai, Chaojun Yan] The aim of this study was to explore the application value of technical improvements of difficult tracheotomy. Percutaneous dilatational tracheotomy kit combined with traditional surgical tracheotomy was performed on seven patients with various types of difficult tracheotomy surgery from Jan. 2011 to Mar. 2013 in our hospital. The indicators, such as difficulty degree and intraoperative peripheral oxygen saturation changes of each patient, were assessed and analyzed. The average operating time was 20min (from the beginning of skin incision to the implantation of the tracheal tube), and the time from cutting out tracheal cartilage rings to completely implanting tracheal tube was with 2min; the intraoperative oxygen saturation degrees were all above 92%. There were no serious complications, such as intraoperative hemorrhea, asphyxia, cardiac arrest, or others, and no complications, such as postoperative bleeding, pneumothorax, cervical spinal cord injury, tracheal stenosis, tracheoesophageal fistula, or others, appeared. The technical improvements used in difficult tracheotomy could reduce the risk of surgery, difficulties of the surgical operation and postoperative complications and make the operation much more easy and more suitable for the clinical application. Association of Surgeons of India, 2014 Surgical tracheotomy nationallicence Percutaneous dilatational tracheostomy nationallicence Percutaneous dilatational tracheostomy kit nationallicence Difficult tracheotomy nationallicence Technological improvements nationallicence Fan Yongzhong Department of Neurosurgery, Danyang People's Hospital, 212300, Danyang, Jiangsu Province, China aut Cai Jundan Intensive Care Unit, Danyang People's Hospital, 212300, Danyang, Jiangsu Province, China aut Yan Chaojun Department of Neurosurgery, Danyang People's Hospital, 212300, Danyang, Jiangsu Province, China aut Indian Journal of Surgery Springer India 77(2015-12-01), 985-989 0972-2068 77<985 2015 77 12262 https://doi.org/10.1007/s12262-014-1101-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1101-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fan Yongzhong Department of Neurosurgery, Danyang People's Hospital, 212300, Danyang, Jiangsu Province, China aut NATIONALLICENCE 700 1- Cai Jundan Intensive Care Unit, Danyang People's Hospital, 212300, Danyang, Jiangsu Province, China aut NATIONALLICENCE 700 1- Yan Chaojun Department of Neurosurgery, Danyang People's Hospital, 212300, Danyang, Jiangsu Province, China aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 985-989 0972-2068 77<985 2015 77 12262