Tracheal cartilage fracture with the percutaneous dilatational tracheostomy, Ciaglia method

ABSTRACT

Surgical tracheostomy was first introduced by an ENT surgeon [Chevalier Jackson] in 1900. In 1955, Seldinger, a Swedish radiologist, introduced a way of insertion of a tube with the aid of a guidewire into the hollow spaces of body, such as blood vessels. In 1985 Pasquale Ciaglia performed percutaneous dilatational tracheostomy [PDA] with the Seldinger method. Tracheostomy nowadays is usually performed as PDT in the ICUs[1]. Most of the PDT methods are performed with the Seldinger method. The basic difference between the various PDT methods, however, is in both the way of dilation and the way of dilator entrance [antegrade vs retrograde]. In the Ciaglia method, several dilator tubes are used for tracheal dilation[2]