A Cuban device for percutaneous tracheostomy
Keywords:
critical care, equipment and supplies, methods, patient, tracheostomyAbstract
Introduction: Percutaneous tracheostomy, like that performed conventionally, allows the airway to be effectively permeabilized to guarantee adequate oxygen supply to the tissues. However, the percutaneous route allows access to the trachea in a simpler and less traumatic way at the patient's bedside, with a lower incidence of complications and significant cost savings. This option has not been widespread in Cuba due to the lack of adequate devices.
Objective: To present a Cuban device for performing percutaneous tracheostomies in response to the identified need.
Development: A prototype device for performing percutaneous tracheostomies in adult patients, developed by a team of professionals from the Miguel Enríquez University Hospital starting in 2016 is presented and its characteristics are explained. The device was designed according to the principle of progressive dilation, like other devices already established and recommended internationally, but not available in Cuban health institutions.
Conclusions: The viable solution to improving the quality of medical care is to develop a Cuban device for performing percutaneous tracheostomies on patients who require them.
Downloads
References
1. Hyzy RC. Tracheostomy in adults: Techniques and intraoperative complications [Internet]. Uptodate.com. 2023. [acceso: 31/07/2024]. Disponible en: https://www.uptodate.com/contents/tracheostomy-in-adults-techniques-and-intraoperative-complications
2. Gupta S, Dixit S, Choudhry D, Govil D, Mishra RC, Samavedam S, et al. Tracheostomy in adult intensive care unit: an ISCCM expert panel practice recommendations [Internet]. Indian J Crit Care Med. 2020 [acceso: 31/07/2024]; 24(Suppl 1):[S31 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085814/
3. Raimondi N, Vial MR, Calleja J, Quintero A, Cortés Alban A, Celis E, et al. Guías basadas en la evidencia para el uso de traqueostomía en el paciente crítico [Internet]. Medicina Intensiva. 2017 [acceso: 31/07/2024]; 41(2):[94-115 pp.]. Disponible en: https://www.medintensiva.org/es-guias-basadas-evidencia-el-uso-articulo-S0210569116302674
4. Raimonde AJ, Westhoven N, Winters R. Tracheostomy. StatPearls Publishing; 2023.
5. Prado LLC. Traqueostomía: antecedentes históricos, anatomía relevante, indicaciones y técnicas [Internet]. [Tesis Especialidad en Medicina Crítica y Terapia Intensiva]: Universidad de Costa Rica; 2021 [acceso: 31/07/2024]. Disponible en: https://repositorio.sibdi.ucr.ac.cr/handle/123456789/10251 .
6. Khaja M, Haider A, Alapati A, Qureshi ZA, Yapor L. Percutaneous tracheostomy: A bedside procedure [Internet]. Cureus. 2022 [acceso: 31/07/2024]; 14(4):e24083. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35573523/
7. Hashimoto DA, Axtell AL, Auchincloss HG. Percutaneous tracheostomy [Internet]. N Engl J Med. 2020 [acceso: 31/07/2024]; 383(20):e112. Disponible en: http://dx.doi.org/10.1056/nejmvcm2014884
8. Cobas-Planchez L, Bode-Sado A, Mezquia-de-Pedro N. Traqueostomía percutánea y quirúrgica en la unidad de cuidados intensivos del Hospital Docente Clínico Quirúrgico Miguel Enríquez [Internet]. Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta. 2022 [acceso: 31/07/2024]; 47(6):e3196. Disponible en: https://revzoilomarinello.sld.cu/index.php/zmv/article/view/3192/pdf
9. Brass P, Hellmich M, Ladra A, Ladra J, Wrzosek A. Percutaneous techniques versus surgical techniques for tracheostomy [Internet]. Cochrane Libr. 2016 [acceso 31/07/2024]; 7(7). Disponible en: https://pubmed.ncbi.nlm.nih.gov/27437615/
10. Ghori UK, Chambers DM. Percutaneous dilational tracheostomy: current techniques and evidence of safety [Internet]. Shanghai Chest. 2020 [acceso: 31/07/2024]; 4(0):22-22. Disponible en: https://shc.amegroups.org/article/view/5650/html
11. Myers EN, Johnson JT. Tracheotomy: Airway management, communication, and swallowing. San Diego, CA, Estados Unidos de América: Plural Publishing; 2007.
12. Gamboa Díaz Y, Lugo Valdés M, García Vargas A, Domínguez Arencibia B. Impacto económico de la COVID-19 en Sistema de Salud Cubano y capacidad de respuesta [Internet]. Infodir. 2022 [acceso 31/07/2024]; (37): [Aprox. 8 pág.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1996-35212022000100014&lng=es
13. MINSAP/CECMED. Presentación de evidencias clínicas para el registro sanitario de equipos y dispositivos médicos [Internet]. (Res138/2015); [acceso: 31/07/2024]. Disponible en: https://www.cecmed.cu/reglamentacion/aprobadas/resolucion-no-1382015
14. Declaración de Helsinki de la AMM - Principios éticos para las investigaciones médicas en seres humanos [Internet]. Wma.net. [acceso: 14/10/2025]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
15.Scales DC, Cuthbertson BH. Percutaneous dilatational tracheostomy: mostly safe, but do benefits outweigh risks? [Internet]. Crit Care. 2014 [acceso: 31/07/2024]; 18(2):117. Disponible en: http://dx.doi.org/10.1186/cc13761
16. Ghattas C, Alsunaid S, Pickering EM, Holden VK. State of the art: percutaneous tracheostomy in the intensive care unit [Internet]. J Thorac Dis. 2021 [acceso: 31/07/2024]; 13(8):5261-76. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34527365/
17. Plásticos Cajimaya - Empresa Industrial de Riego [Internet]. Eir.co.cu. 2024 [acceso 31/07/2024]. Disponible en: https://www.eir.co.cu/cajimaya/
18. Polipropileno [Internet]. Ecured.cu. [acceso: 31/05/2024]. Disponible en: https://www.ecured.cu/Polipropileno .
19. Medical devices for minimally invasive procedures [Internet]. Cookmedical.com. 2024 [acceso: 31/07/2024]. Disponible en: https://www.cookmedical.com/
20. Trouillet JL, Collange O, Belafia F, Blot F, Capellier G, Cesareo E, et al. Tracheotomy in the intensive care unit: guidelines from a French expert panel [Internet]. Ann Intensive Care. 2018 [acceso: 31/07/2024]; 8(1):37. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29546588/
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Adan Bode Sado, Lodixi Cobas Planchez, Caridad de Dios Soler Morejón, Natascha Mezquia de Pedro

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.