KITS AND METHODS FOR RETROGRADE PERCUTANEOUS DILATIONAL TRACHEOSTOMY

摘要

The present disclosure provides for a method of performing a percutaneous dilational tracheostomy (“PDT”) that includes inserting a tracheal tube including an inflatable cuff through a mouth and into a trachea of a patient; inserting a bronchoscope into the tracheal tube; inserting a puncturing wire through a channel of the bronchoscope. The puncturing wire includes a sharp cutting end and a dull gripping end. The method also includes puncturing the trachea of the patient with the sharp cutting end of the puncturing wire from within the trachea at a selected location to create a stoma; passing at least one dilator over the sharp cutting end of the puncturing wire for dilating the stoma; inserting a tracheostomy tube into the trachea through the stoma; and removing the puncturing wire from the patient.