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Clinical evaluation of the ‘T‐Dagger ™ ’: a new bedside percutaneous dilational tracheostomy device *
Author(s) -
Ambesh S. P.,
Tripathi M.,
Pandey C. K.,
Pant K. C.,
Singh P. K.
Publication year - 2005
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2005.04236.x
Subject(s) - medicine , pneumomediastinum , percutaneous , pneumothorax , dagger , surgery , philosophy , theology
Summary A number of percutaneous dilational tracheostomy devices are now available for clinical use. Recently, a new percutaneous dilational tracheostomy device, the ‘T‐Dagger ™ ’ (Criticure Invasives, India), has been introduced for rapid bedside percutaneous tracheostomy. In a prospective preliminary study, we have performed percutaneous dilational tracheostomy (PDT) using the T‐Dagger ™ in 20 adult ventilated patients in order to evaluate the safety and efficacy of the new device. The T‐Dagger ™ facilitated bedside PDT in about 3 min with no untoward incidents. There was no significant bleeding, pneumothorax, pneumomediastinum, tracheal wall injuries or difficulty in ventilation in any of the patients. We conclude that the T‐Dagger ™ shows early promise in bedside percutaneous dilational tracheostomy. However, controlled studies are required in a larger patient population before it can be recommended for routine use.