A new simple method for percutaneous tracheostomy: controlled rotating dilation. A preliminary report

Intensive Care Med. 2002 Mar;28(3):299-303. doi: 10.1007/s00134-002-1218-5. Epub 2002 Feb 9.


Objective: To describe and introduce a new technique for percutaneous dilational tracheostomy.

Design and setting: Open, observational clinical trial in patients requiring an elective tracheostomy in two intensive care units of university hospitals.

Patients: Fifty (25/25) consecutive patients requiring an elective tracheostomy above 18 years of age.

Interventions: Performance of a percutaneous dilational tracheostomy with a specially designed screw-type dilator, using a thread for the dilation procedure.

Results: In 50 consecutive patients the new device allowed a quick and safe dilation procedure without any serious bleeding complications or other relevant procedural-related side effects.

Conclusions: The described new percutaneous dilational tracheostomy device (PercuTwist, Rüsch, Kernen, Germany) represents a single-step method with a high degree of control during dilation. So far, it appears to be a safe, quickly performed procedure with a strikingly low incidence of even small bleeding complications, thus offering an interesting new alternative for the performance of a percutaneous tracheostomy.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Dilatation
  • Equipment Design
  • Humans
  • Intensive Care Units
  • Postoperative Period
  • Tracheostomy / adverse effects
  • Tracheostomy / instrumentation*
  • Tracheostomy / methods