Protocol of the Percutaneous Tracheostomy Technique in a Porcine Model: Experimental Study

¹Division of Pediatrics, Pediatric Surgery Service of the Guadalajara Civil Hospital “Fray Antonio Alcalde”, Guadalajara, Jalisco, Mexico

²Pediatric Anesthesiology Service, Guadalajara Civil Hospital “Fray Antonio Alcalde”, Guadalajara, Jalisco, Mexico

³Department of Human Reproduction, Child Growth and Development Clinics, University Center for Health Sciences, University of Guadalajara, Guadalajara, Jalisco, Mexico

⁴Lamar University, Health Sciences, Guadalajara, Jalisco, Mexico

⁵Division of Pediatrics, Western General Hospital, Guadalajara, Jalisco, Mexico

⁶Tlajomulco University Center University of Guadalajara, Mexico

⁷Tonalá University Center, University of Guadalajara, Mexico

*Corresponding author: Guillermo Yanowsky Reyes, Division of Pediatrics, Pediatric Surgery Service of the Guadalajara Civil Hospital “Fray Antonio Alcalde”, Guadalajara, Jalisco, Mexico, Phone: 3331572737, Email: [email protected]

Received Date: October 08, 2024

Publication Date: December 20, 2024

Citation: Reyes GY, et al. (2024). Protocol of the Percutaneous Tracheostomy Technique in a Porcine Model: Experimental Study. Gastro Res. 3(2):12.

Copyright: Reyes GY, et al. © (2024).

SUMMARY

Objective: To evaluate the applicability of the percutaneous tracheostomy placement technique guided by flexible bronchoscopy in a weaned or growing piglet model in order to know its reproducibility in pediatric patients considering their anatomical and weight similarity, and to describe a detailed technique in this group. Introduction: In the pediatric patient there is no detailed description of the technique, finding isolated reports in schoolchildren and adolescents, without a necessary equipment protocol individualized to each age group, emphasizing its scarce practice in children under 5 years of age, who can be benefited by this technique. Material and methods: Experimental study with 4 weaned porcine models of 5 weeks of age which were felt under the same systematized anesthetic protocol in which positioning technique was performed, adequate asepsis and antisepsis, diagnostic direct bronchoscopy during the performance of the endotracheal cannula placement technique monitoring early and late complications. Results: A total of 4 porcine models of male pigs weighing 5 kg were included in the study, which were submitted under anesthesia protocol prior to the performance of the tracheostomy placement technique by percutaneous puncture, so that 16 successful punctures were performed with the placement of 16 tracheostomy cannulas during the study. In each pig, 4 punctures were performed with 4 cannula insertions in the path of the cervical trachea, this technique was performed by 4 different prosecutors, each prosecutor performed the mentioned technique on 4 occasions successfully. The average time was 12 minutes with a range of 10 to 14 minutes. There were no complications or mortality associated with the technique. Discussion and conclusion: This paper describes the percutaneous tracheostomy placement technique and its reproducibility in pigs. The necessary material and the technique are shown in detail for an adequate application in clinical practice trying to resemble the pediatric patient. It can be concluded that the application of the technique in porcine models is successful, so its application in clinical practice in the pediatric patient can be considered. Considering the teaching and previous practice of the operator who carries out this procedure, knowing the risks and complications of it.

Keywords: Percutaneous Tracheostomy, Pigs, Pediatric Patients, Bronchoscopy, Technique