Can we improve teaching and learning of percutaneous dilatational tracheostomy's bronchoscopic guidance?

Francisco Abbott; Marcos Ortega; Sebastian Bravo; Roque Basoalto; Eduardo Kattan

doi:10.1177/20503121211002321

Can we improve teaching and learning of percutaneous dilatational tracheostomy's bronchoscopic guidance?

SAGE Open Med. 2021 Mar 17:9:20503121211002321. doi: 10.1177/20503121211002321. eCollection 2021.

Authors

Francisco Abbott^{1

2}, Marcos Ortega^{1

2}, Sebastian Bravo¹, Roque Basoalto¹, Eduardo Kattan¹

Affiliations

¹ Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
² Departamento de Enfermedades Respiratorias, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Abstract

Percutaneous dilatational tracheostomy has become the technique of choice in multiple intensive care units. Among innovations to improve procedural safety and success, bronchoscopic guidance of percutaneous dilatational tracheostomy has been advocated and successfully implemented by multiple groups. Most published literature focuses on the percutaneous dilatational tracheostomy operator, with scarce descriptions of the bronchoscopic particularities of the procedure. In this article, we provide 10 suggestions to enhance specific procedural aspects of bronchoscopic guidance of percutaneous dilatational tracheostomy, and strategies to optimize its teaching and learning, in order to promote learners' competence acquisition and increase patient safety.

Keywords: Bronchoscopy; airway management; critical care; intensive care; medical education; tracheostomy.

Publication types

Review