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Percutaneous Tracheostomy: A Multidisciplinary Approach

Percutaneous Tracheostomy Service, Johns Hopkins Medical Institutions
Baltimore, MD

Thai Tran Nguyen, MD, and Marek Mirski, MD

Anesthesia and Critical Care Medicine, Johns Hopkins Medical Institutions
Baltimore, MD

Nasir Islam Bhatti, MD

Otolaryngology, Head and Neck Surgery, Johns Hopkins Medical Institutions
Baltimore, MD

The techniques of performing a tracheostomy has transformed over time. Percutaneous tracheostomy is gaining popularity over open tracheostomy given its advantages and as a result the number of bedside tracheostomies has increased necessitating the need for a Percutaneous Tracheostomy Program. The Percutaneous Tracheostomy Program at the Johns Hopkins Hospital is a comprehensive service that provides care to patients before, during, and after a tracheostomy with a multidisciplinary approach aimed at decreasing complications. Education is provided to patients, families, and health-care professionals who are involved in the management of a tracheostomy. Ongoing prospective data collection serves as a tool for Quality Assurance.