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Safe Percutaneous Dilatational Tracheostomy Using a Pre‐Measured Light‐Guided Endotracheal Tube Withdrawal Technique: A Case Report

Year: 2026

Type: article

Abstract: Percutaneous dilatational tracheostomy (PDT) is a bedside procedure for patients requiring prolonged mechanical ventilation. Although its overall safety is comparable to that of surgical tracheostomy, complications related to endotracheal tube (ETT) manipulation remain a concern. In this report, we describe a simple, reproducible two-step approach for ETT repositioning during PDT that (1) pre-measures an individualized withdrawal distance using bronchoscopic illumination and (2) confirms final positioning in real time by transillumination at the incision site in a patient requiring tracheostomy after prolonged mechanical ventilation. The procedure was completed within 20 min without complications. This technique may facilitate safer ETT repositioning during PDT.

Source: Respirology Case Reports

DOI: 10.1002/rcr2.70637

Authors: Yuya Aoki, Masaki Kono, Takuo Yoshida

Institutions: Jikei University School of Medicine, Jikei University Kashiwa hospital

Language: English

Topic: Tracheal and airway disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,130