Percutaneous Dilational Tracheostomy guided by rigid bronchoscopy in patients with cervical mass

Herein, we proposed the PDT guided by rigid bronchoscope in intubated patients with airway obstruction. The presence of cervical mass discouraged us to perform an open tracheostomy as it could result in more blood loss than PDT, while the use of rigid bronchoscopy rather flexible bronchoscopy could facilitate the execution of PDT due to better visibility and suction capacity. This strategy was successfully applied in three consecutive intubated patients with airway obstruction due to cervical mass.