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Key Clinical Message  A number of complications can occur following both surgical tracheostomy (ST) and percutaneous tracheostomy (PT). A flexible new tracheostomy insertion technique with the advantages of both ST and PT is proposed to reduce these complications. Our blunt puncture and dilation technique ( BPAD  tracheostomy) appears to be technically safe and feasible to perform.

Safe tracheostomy: blunt puncture and dilation after minimal surgical exposure of the trachea ( BPAD tracheostomy)