Microendoscopic Ultrasound-Guided Percutaneous Tracheostomy (MUGPT): A Case Series Describing a Novel Technique for Performing Percutaneous Tracheostomy

Mayyas M. Msheik; Amro F. Khalili; Mustapha A. Nahle; Chakib M. Ayoub; Yara M. Al Ghabour; Hachem Y. Abdul-Kader; Marwan S. Rizk

doi:10.1155/2023/5796473

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Microendoscopic Ultrasound-Guided Percutaneous Tracheostomy (MUGPT): A Case Series Describing a Novel Technique for Performing Percutaneous Tracheostomy

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Microendoscopic Ultrasound-Guided Percutaneous Tracheostomy (MUGPT): A Case Series Describing a Novel Technique for Performing Percutaneous Tracheostomy

Mayyas M. Msheik, Amro F. Khalili, Mustapha A. Nahle, Chakib M. Ayoub, Yara M. Al Ghabour, Hachem Y. Abdul-Kader and Marwan S. Rizk

Case reports in critical care, Vol.2023, pp.5796473-9

2023

DOI: 10.1155/2023/5796473

PMCID: PMC10676272

PMID: 38028725

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Abstract

A percutaneous tracheostomy is a common surgical procedure done in intensive care. Several different techniques have been described. Recently, the addition of bronchoscopy or ultrasound has been advocated to decrease the risks and complications associated with the procedure; however, both aids used alone, bronchoscopy or ultrasound, have some drawbacks and pitfalls. In this manuscript, we describe a new technique implementing a new technology, Microendoscopy coupled with ultrasound to perform percutaneous dilation tracheostomy MUGPT. MUGPT relies on dual real-time feedback microendoscopy and ultrasound to perform percutaneous dilation tracheostomy. This technique helps reduce the risk of bleeding, airway loss, tracheal wall injury, tracheal ring fracture, damage to adjacent structures, pneumothorax, pneumomediastinum, subcutaneous emphysema, false placement, hypoxia, carbon dioxide retention bronchospasm, cardiac dysrhythmias, and cost reduction. Methods. This is a case series of 6 patients who underwent single-step percutaneous dilation tracheostomy using the MUGPT technique. All the patients were in ICU and were candidates for tracheostomy. Intraoperative data collection, vital signs, oxygen saturation, and end-tidal CO2 were measured. No postoperative or intraoperative complications were documented. Conclusion. Microendoscopic ultrasound-guided percutaneous tracheostomy (MUGPT) is a promising technique with minimal complications. It is a procedure that can be performed and taught easily to Junior physicians and is a lifesaver in difficult cases.

Details

Title: Subtitle: Microendoscopic Ultrasound-Guided Percutaneous Tracheostomy (MUGPT): A Case Series Describing a Novel Technique for Performing Percutaneous Tracheostomy
Creators: Mayyas M. Msheik - American University of Beirut Medical Center
Amro F. Khalili - American University of Beirut
Mustapha A. Nahle - Rafik Hariri University Hospital
Chakib M. Ayoub - Duke University Health System
Yara M. Al Ghabour - Rafik Hariri University
Hachem Y. Abdul-Kader - Rafik Hariri University Hospital
Marwan S. Rizk - American University of Beirut
Contributors: Zsolt Molnár (Editor)
Resource Type: Journal article
Publication Details: Case reports in critical care, Vol.2023, pp.5796473-9
DOI: 10.1155/2023/5796473
PMID: 38028725
PMCID: PMC10676272
NLM abbreviation: Case Rep Crit Care
ISSN: 2090-6420
eISSN: 2090-6439
Publisher: Hindawi
Language: English
Date published: 2023
Academic Unit: Anesthesia
Record Identifier: 9984755393102771

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