Percutaneous tracheostomy by guidewire dilating forceps technique: is bronchoscopic guidance mandatory?
In the absence of bronchoscopic guidance, percutaneous tracheostomy can be performed safely and speedily if simple precautions like ensuring free aspiration of air on needle insertion into trachea, bubbling of fluid placed over the hub of the cannula during ventilation and free mobility of guide wire at each step of the procedure were observed to secure the right positioning of the tracheostomy tube.
Despite no difference in survival, the improvement from preoperative CRT with respect to margin involvement makes this treatment a reasonable option for bulky, locally advanced resectable adenocarcinoma of the oesophagus.