經皮氣管切開術的應用_Chinese Journal of Respiratory and Critical Care Medicine

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張馨文 ¹ , 南水源 ¹ , 董宇超 ² , 張偉 ² ,  秦浩 ²

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10.7507/1671-6205.202506015

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Citation： 張馨文, 南水源, 董宇超, 張偉, 秦浩. 經皮氣管切開術的應用. Chinese Journal of Respiratory and Critical Care Medicine, 2025, 24(6): 446-450. doi: 10.7507/1671-6205.202506015 Copy

1.	Shelden CH, Pudenz RH, Tichy FY. Percutaneous tracheotomy. J Am Med Assoc, 1957, 165(16): 2068-2070.
2.	Ciaglia P, Firsching R, Syniec C. Elective Percutaneous Dilatational Tracheostomy. A new simple bedside procedure; preliminary report. Chest, 1985, 87(6): 715–719.
3.	Schachner A, Ovil Y, Sidi J, et al. Percutaneous tracheostomy–a new method. Crit Care Med, 1989, 17(10): 1052–1056.
4.	Fantoni A, Ripamonti D. A non-derivative, non-surgical tracheostomy: the translaryngeal method. Intensive Care Med, 1997, 23(4): 386-392.
5.	Fikkers BG, van Heerbeek N, Krabbe PF, et al. Percutaneous tracheostomy with the guide wire dilating forceps technique: presentation of 171 consecutive patients. Head Neck, 2002, 24(7): 625-631.
6.	Byhahn C, Lischke V, Halbig S, et al. Ciaglia blue rhino: a modified technique for percutaneous dilatation tracheostomy. Technique and early clinical results. Anaesthesist. 2000, 49(3): 202–206.
7.	Frova G, Quintel M. A new simple method for percutaneous tracheostomy: controlled rotating dilation. A preliminary report. Intensive Care Med. 2002, 28(3): 299–303.
8.	Yarmus L, Pandian V, Gilbert C, et al. Safety and Efficiency of Interventional Pulmonologists Performing Percutaneous Tracheostomy. Respiration. 2012, 84(2): 123–127.
9.	Singh J, Sing RF. Performance, Long-term Management, and Coding for Percutaneous Dilational Tracheostomy. Chest. 2019, 155(3): 639–644.
10.	Brass P, Hellmich M, Ladra A, et al. Percutaneous techniques versus surgical techniques for tracheostomy. Cochrane Database Syst Rev, 2016, 7(7): CD008045.
11.	Temel ?, Metin H, G?k MG, et al. Comparative Analysis of Percutaneous Dilatational Tracheotomy and Surgical Tracheotomy in Critically Ill Patients: Outcomes and Complications. J Cardiothorac Vasc Anesth. 2025, 39(5): 1214-1220.
12.	Tüzemen G, Kaya PK. Aerosol-generating procedure, percutaneous versus surgical tracheostomy. Am J Otolaryngol, 2022, 43(3): 103401.
13.	Khaja M, Haider A, Alapati A, et al. Percutaneous Tracheostomy: A Bedside Procedure. Cureus, 2022, 14(4): e24083.
14.	Zhao J, Yao Y, Fang L, et al. Early tracheostomy for neurologic critical care patients improves neurologic function and reduces pulmonary infections. Am J Transl Res. 2024, 16(11): 6727–6735.
15.	Tang Y, Wu Y, Zhu F, et al. Tracheostomy in 80 COVID-19 Patients: A Multicenter, Retrospective, Observational Study. Front Med(Lausanne). 2020, 7: 615845.
16.	Mahmood K, Cheng GZ, Van Nostrand K, et al. Tracheostomy for COVID-19 Respiratory Failure: Multidisciplinary, Multicenter Data on Timing, Technique, and Outcomes. Ann Surg, 2021, 274(2): 234-239.
17.	Rosano A, Martinelli E, Fusina F, et al. Early Percutaneous Tracheostomy in Coronavirus Disease 2019: Association With Hospital Mortality and Factors Associated With Removal of Tracheostomy Tube at ICU Discharge. A Cohort Study on 121 Patients. Crit Care Me, 2021, 49(2): 261-270.
18.	B?sel J, Niesen WD, Salih F, et al. Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial. JAMA, 2022, 327(19): 1899-1909.
19.	Lüsebrink E, Krogmann A, Tietz F, et al. Percutaneous dilatational tracheotomy in high-risk ICU patients. Ann Intensive Care, 2021, 11(1): 116.
20.	Rosseland LA, Laake JH, Stubhaug A. Percutaneous dilatational tracheotomy in intensive care unit patients with increased bleeding risk or obesity. A prospective analysis of 1000 procedures: Safety of percutaneous tracheotomy. Acta Anaesthesiologica Scandinavica. 2011, 55(7): 835–841.
21.	Youness HA, Keddissi J, Berim I, et al. Management of oral antiplatelet agents and anticoagulation therapy before bronchoscopy. J Thorac Dis, 2017, 9(Suppl 10): S1022-S1033.
22.	Plata P, Gaszyński T. Ultrasound-guided percutaneous tracheostomy. Anaesthesiol Intensive Ther, 2019, 51(2): 126-132.
23.	Nowak A, Klemm E, Michaelsen C, et al. Safety of percutaneous dilatational tracheotomy (PDT) with the rigid tracheotomy endoscope (TED): a 6-month follow-up multicenter investigation. BMC Anesthesiol, 2021, 21(1): 51.
24.	Alansari M, Alotair H, Al Aseri Z, et al. Use of ultrasound guidance to improve the safety of percutaneous dilatational tracheostomy: a literature review. Crit Care, 2015, 19(1): 229.
25.	Gobatto ALN, Besen BAMP, Tierno PFGMM, et al. Ultrasound-guided percutaneous dilational tracheostomy versus bronchoscopy-guided percutaneous dilational tracheostomy in critically ill patients (TRACHUS): a randomized noninferiority controlled trial. Intensive Care Med, 2016, 42(3): 342-351.
26.	Kang K, Wang J, Du X, et al. A safer and more practical tracheotomy in invasive mechanical ventilated patients with COVID-19: A quality improvement study. Front Surg. 2022, 9: 1018637.
27.	Terrani A, Bassi E, Ornaghi A, et al. The key role of 3D printing and the new medical sterilizable threads in the development of the translaryngeal Tracheostomy Needle Introducer. 3D Print Med, 2021, 7(1): 14.
28.	Ziyaeifard M, Azarfarin R. Introducing a new instrument “Downpipe endotracheal tube” for improving the safety of percutaneous dilatational tracheostomy. J Res Med Sci. 2020, 25: 16.
29.	Haron A, Li L, Davies EA, et al. Increasing the precision of simulated percutaneous dilatational tracheostomy—a pilot prototype device development study. IScience, 2024, 27(3): 109098.
30.	Xiao X, Poon H, Lim CM, et al. Pilot Study of Trans-oral Robotic-Assisted Needle Direct Tracheostomy Puncture in Patients Requiring Prolonged Mechanical Ventilation. Front Robot AI, 2020, 7: 575445.
31.	Ullman J, Karling J, Bark R, et al. Navigation system for percutaneous tracheotomy. Acta Otolaryngol, 2021, 141(10): 953-959.
32.	Tang, Y, Li, L, Lu, Z, et al. Design Requirements of Robotic Systems for Assisting Percutaneous Tracheostomy: a Scoping Review and Development Framework. IEEE Transactions on Medical Robotics and Bionics, 2023, 5(4): 754-767.
33.	Al-Ansari MA, Hijazi MH. Clinical review: percutaneous dilatational tracheostomy. Crit Care. 2006, 10(1): 202.
34.	Chen Y, Guo R, Rao L, et al. Early tracheoesophageal fistula after tracheotomy: A case report with literature review. Asian J Surg, 2021, 44(9): 1227-1228.
35.	Bharathi R, Rao GM, Tracy J, et al. Comparison of Mechanical Forces used in Open Tracheotomy versus Percutaneous Tracheotomy Techniques. Laryngoscope, 2024, 134(1): 103-107.
36.	Hixson R, Jensen KS, Melamed KH, et al. Device associated complications in the intensive care unit. BMJ. 2024, 386: e077318.
37.	Eichler L, Mueller J, Grensemann J, et al. Lung aeration and ventilation after percutaneous tracheotomy measured by electrical impedance tomography in non-hypoxemic critically ill patients: a prospective observational study. Ann Intensive Care. 2018, 8(1): 110.
38.	Molardi A, Benassi F, Manca T, et al. Parma tracheostomy technique: a hybrid approach to tracheostomy between classical surgical and percutaneous tracheostomies. J Thorac Dis. 2016, 8(12): 3633-3638.
39.	Harrer DC, Mester P, Lang CL, et al. Minimally-invasive tracheostomy (MIT): A care bundle for safety improvement in high-risk critically ill patients. J Clin Anesth, 2024, 99: 111631.
40.	De Rosa S, Bignami E, Bellini V, et al. The Future of Artificial Intelligence Using Images and Clinical Assessment for Difficult Airway Management. Anesth Analg. 2025, 140(2): 317–325.

1. Shelden CH, Pudenz RH, Tichy FY. Percutaneous tracheotomy. J Am Med Assoc, 1957, 165(16): 2068-2070.
2. Ciaglia P, Firsching R, Syniec C. Elective Percutaneous Dilatational Tracheostomy. A new simple bedside procedure; preliminary report. Chest, 1985, 87(6): 715–719.
3. Schachner A, Ovil Y, Sidi J, et al. Percutaneous tracheostomy–a new method. Crit Care Med, 1989, 17(10): 1052–1056.
4. Fantoni A, Ripamonti D. A non-derivative, non-surgical tracheostomy: the translaryngeal method. Intensive Care Med, 1997, 23(4): 386-392.
5. Fikkers BG, van Heerbeek N, Krabbe PF, et al. Percutaneous tracheostomy with the guide wire dilating forceps technique: presentation of 171 consecutive patients. Head Neck, 2002, 24(7): 625-631.
6. Byhahn C, Lischke V, Halbig S, et al. Ciaglia blue rhino: a modified technique for percutaneous dilatation tracheostomy. Technique and early clinical results. Anaesthesist. 2000, 49(3): 202–206.
7. Frova G, Quintel M. A new simple method for percutaneous tracheostomy: controlled rotating dilation. A preliminary report. Intensive Care Med. 2002, 28(3): 299–303.
8. Yarmus L, Pandian V, Gilbert C, et al. Safety and Efficiency of Interventional Pulmonologists Performing Percutaneous Tracheostomy. Respiration. 2012, 84(2): 123–127.
9. Singh J, Sing RF. Performance, Long-term Management, and Coding for Percutaneous Dilational Tracheostomy. Chest. 2019, 155(3): 639–644.
10. Brass P, Hellmich M, Ladra A, et al. Percutaneous techniques versus surgical techniques for tracheostomy. Cochrane Database Syst Rev, 2016, 7(7): CD008045.
11. Temel ?, Metin H, G?k MG, et al. Comparative Analysis of Percutaneous Dilatational Tracheotomy and Surgical Tracheotomy in Critically Ill Patients: Outcomes and Complications. J Cardiothorac Vasc Anesth. 2025, 39(5): 1214-1220.
12. Tüzemen G, Kaya PK. Aerosol-generating procedure, percutaneous versus surgical tracheostomy. Am J Otolaryngol, 2022, 43(3): 103401.
13. Khaja M, Haider A, Alapati A, et al. Percutaneous Tracheostomy: A Bedside Procedure. Cureus, 2022, 14(4): e24083.
14. Zhao J, Yao Y, Fang L, et al. Early tracheostomy for neurologic critical care patients improves neurologic function and reduces pulmonary infections. Am J Transl Res. 2024, 16(11): 6727–6735.
15. Tang Y, Wu Y, Zhu F, et al. Tracheostomy in 80 COVID-19 Patients: A Multicenter, Retrospective, Observational Study. Front Med(Lausanne). 2020, 7: 615845.
16. Mahmood K, Cheng GZ, Van Nostrand K, et al. Tracheostomy for COVID-19 Respiratory Failure: Multidisciplinary, Multicenter Data on Timing, Technique, and Outcomes. Ann Surg, 2021, 274(2): 234-239.
17. Rosano A, Martinelli E, Fusina F, et al. Early Percutaneous Tracheostomy in Coronavirus Disease 2019: Association With Hospital Mortality and Factors Associated With Removal of Tracheostomy Tube at ICU Discharge. A Cohort Study on 121 Patients. Crit Care Me, 2021, 49(2): 261-270.
18. B?sel J, Niesen WD, Salih F, et al. Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation: The SETPOINT2 Randomized Clinical Trial. JAMA, 2022, 327(19): 1899-1909.
19. Lüsebrink E, Krogmann A, Tietz F, et al. Percutaneous dilatational tracheotomy in high-risk ICU patients. Ann Intensive Care, 2021, 11(1): 116.
20. Rosseland LA, Laake JH, Stubhaug A. Percutaneous dilatational tracheotomy in intensive care unit patients with increased bleeding risk or obesity. A prospective analysis of 1000 procedures: Safety of percutaneous tracheotomy. Acta Anaesthesiologica Scandinavica. 2011, 55(7): 835–841.
21. Youness HA, Keddissi J, Berim I, et al. Management of oral antiplatelet agents and anticoagulation therapy before bronchoscopy. J Thorac Dis, 2017, 9(Suppl 10): S1022-S1033.
22. Plata P, Gaszyński T. Ultrasound-guided percutaneous tracheostomy. Anaesthesiol Intensive Ther, 2019, 51(2): 126-132.
23. Nowak A, Klemm E, Michaelsen C, et al. Safety of percutaneous dilatational tracheotomy (PDT) with the rigid tracheotomy endoscope (TED): a 6-month follow-up multicenter investigation. BMC Anesthesiol, 2021, 21(1): 51.
24. Alansari M, Alotair H, Al Aseri Z, et al. Use of ultrasound guidance to improve the safety of percutaneous dilatational tracheostomy: a literature review. Crit Care, 2015, 19(1): 229.
25. Gobatto ALN, Besen BAMP, Tierno PFGMM, et al. Ultrasound-guided percutaneous dilational tracheostomy versus bronchoscopy-guided percutaneous dilational tracheostomy in critically ill patients (TRACHUS): a randomized noninferiority controlled trial. Intensive Care Med, 2016, 42(3): 342-351.
26. Kang K, Wang J, Du X, et al. A safer and more practical tracheotomy in invasive mechanical ventilated patients with COVID-19: A quality improvement study. Front Surg. 2022, 9: 1018637.
27. Terrani A, Bassi E, Ornaghi A, et al. The key role of 3D printing and the new medical sterilizable threads in the development of the translaryngeal Tracheostomy Needle Introducer. 3D Print Med, 2021, 7(1): 14.
28. Ziyaeifard M, Azarfarin R. Introducing a new instrument “Downpipe endotracheal tube” for improving the safety of percutaneous dilatational tracheostomy. J Res Med Sci. 2020, 25: 16.
29. Haron A, Li L, Davies EA, et al. Increasing the precision of simulated percutaneous dilatational tracheostomy—a pilot prototype device development study. IScience, 2024, 27(3): 109098.
30. Xiao X, Poon H, Lim CM, et al. Pilot Study of Trans-oral Robotic-Assisted Needle Direct Tracheostomy Puncture in Patients Requiring Prolonged Mechanical Ventilation. Front Robot AI, 2020, 7: 575445.
31. Ullman J, Karling J, Bark R, et al. Navigation system for percutaneous tracheotomy. Acta Otolaryngol, 2021, 141(10): 953-959.
32. Tang, Y, Li, L, Lu, Z, et al. Design Requirements of Robotic Systems for Assisting Percutaneous Tracheostomy: a Scoping Review and Development Framework. IEEE Transactions on Medical Robotics and Bionics, 2023, 5(4): 754-767.
33. Al-Ansari MA, Hijazi MH. Clinical review: percutaneous dilatational tracheostomy. Crit Care. 2006, 10(1): 202.
34. Chen Y, Guo R, Rao L, et al. Early tracheoesophageal fistula after tracheotomy: A case report with literature review. Asian J Surg, 2021, 44(9): 1227-1228.
35. Bharathi R, Rao GM, Tracy J, et al. Comparison of Mechanical Forces used in Open Tracheotomy versus Percutaneous Tracheotomy Techniques. Laryngoscope, 2024, 134(1): 103-107.
36. Hixson R, Jensen KS, Melamed KH, et al. Device associated complications in the intensive care unit. BMJ. 2024, 386: e077318.
37. Eichler L, Mueller J, Grensemann J, et al. Lung aeration and ventilation after percutaneous tracheotomy measured by electrical impedance tomography in non-hypoxemic critically ill patients: a prospective observational study. Ann Intensive Care. 2018, 8(1): 110.
38. Molardi A, Benassi F, Manca T, et al. Parma tracheostomy technique: a hybrid approach to tracheostomy between classical surgical and percutaneous tracheostomies. J Thorac Dis. 2016, 8(12): 3633-3638.
39. Harrer DC, Mester P, Lang CL, et al. Minimally-invasive tracheostomy (MIT): A care bundle for safety improvement in high-risk critically ill patients. J Clin Anesth, 2024, 99: 111631.
40. De Rosa S, Bignami E, Bellini V, et al. The Future of Artificial Intelligence Using Images and Clinical Assessment for Difficult Airway Management. Anesth Analg. 2025, 140(2): 317–325.

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