Preventing posterior tracheal wall perforation in percutaneous

August 31, 2007 by Jason S. Hamilton, MD; Sofia Avitia, MD; Ryan F. Osborne, MD, FACS
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Head and Neck Clinic

A 49-year-old woman with a history of orthotopic liver transplantation was admitted to the intensive care unit for respiratory failure requiring intubation. She had graft-versus-host disease and fever of unknown origin. The patient was unable to be weaned from ventilator support, so the ICU team performed a percutaneous dilational tracheotomy (PDT) under bronchoscopic guidance.

  

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