Semin Respir Crit Care Med 2022; 43(04): 492-502
DOI: 10.1055/s-0042-1748763
Review Article

Interventional Pulmonology and the Esophagus: Tracheostomy and Percutaneous Endoscopic Gastrostomy Placement

Anil Magge
1   Section of Interventional Pulmonology, Department of Pulmonary and Critical Care Medicine, Massachusetts General Hospital/Beth Israel Deaconess Medical Center, Massachusetts
Catherine L. Oberg
2   Section of Interventional Pulmonology, Department of Pulmonary and Critical Care Medicine, Clinical Immunology and Allergy, David Geffen School of Medicine at University of California, Los Angeles, California
› Author Affiliations
Funding None.


Tracheostomy is a procedure commonly performed in intensive care units (ICU) for patients who are unable to be weaned from mechanical ventilation. Both percutaneous and surgical techniques have been validated and are chosen based on the local expertise available. A primary advantage to the percutaneous technique is the ability to perform this procedure in the ICU without transporting the patient to a procedure suite or operating room; this has become particularly important with the novel coronavirus disease 2019 (COVID-19) pandemic. An additional advantage is the ability to perform both the tracheostomy and the gastrostomy tube placement, if needed, during the same anesthetic episode. This decreases the need for additional sedation, interruption of anticoagulation, repeat transfusion, and coordination of care between multiple services. In the context of COVID-19, combined tracheostomy and gastrostomy placement exposes less health care providers overall and minimizes transportation needs.

Publication History

Article published online:
17 June 2022

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