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Editorials |

Video-Assisted Endoscopy, not Just Endoscopy, for Percutaneous Dilatational Tracheostomy

Pasquale Ciaglia, MD, FCCP
Author and Funding Information

Affiliations: Utica, NY 
 ,  Dr. Ciaglia is a Clinical Assistant Professor, Department of Surgery, SUNY Health Science Center, Syracuse, NY; Airway Consultant of Trauma Center, Level II and Consultant Medical Director of Respiratory Care, St. Elizabeth Medical Center, Utica, NY; and Coordinator of Clinical Research, Bassett-St. Elizabeth Family Practice Residency Program, Utica, NY.

Correspondence to: Pasquale Ciaglia, MD, FCCP, General Thoracic Surgery, Endoscopy, 2215 Genesee Street, Utica, NY 13501



Chest. 1999;115(4):915-916. doi:10.1378/chest.115.4.915
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Extract

Following the introduction of “blind” percutaneous dilatational tracheostomy (PDT) by Ciaglia and colleagues1 in 1985, the first simultaneous bronchoscopic monitoring of the procedure was reported by Paul and colleagues.2 This was an important improvement in safety and ease of performance and has justifiably become a part of the procedure as many reports describe it.3,,4,,5,,6,,7,,8,,9,,10 However, only a few reports describe the use of video-assisted endoscopy in PDT.11,,12,,13 This is an even better and safer method of performing the procedure. It is comparable to performing modern laparoscopic surgery in which video-assisted laparoscopy is done and in which the operator looks at the image of what they are working on while someone else merely holds a scope to project the image on the monitor. In fact, as pointed out by Spaner and colleagues,14 “It was not until after 1986, following the development of a video computer chip that allowed the magnification and projection of images onto television screens, that the techniques of laparoscopic surgery truly became integrated into the discipline of general surgery.”


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