TY - CHAP M1 - Book, Section TI - Chapter 31. Performing an Elective Percutaneous Dilational Tracheotomy in a Patient on Mechanical Ventilation A1 - Guzzo, Angelina A1 - Johnson, Liane B A1 - Hung, Orlando R. A2 - Hung, Orlando A2 - Murphy, Michael F. Y1 - 2012 N1 - T2 - Management of the Difficult and Failed Airway, 2e AB - A 28-year-old, previously healthy woman was thrown off an all terrain vehicle (ATV) and sustained blunt trauma to her chest. Her injuries included a flail chest with fractures of the right first and second ribs, a pulmonary contusion, as well as a right femur fracture and ruptured spleen. Following a splenectomy on the first night, she stabilized hemodynamically and subsequently underwent an open reduction internal fixation of the femur. On the 10th day, she failed an extubation attempt due to hypoxemia. Currently she is being ventilated with a pressure support of 12 cm H2O, positive end-expiratory pressure (PEEP) of 5 cm H2O, and FiO2 0.50. Her ABG shows pH 7.47, PCO2 37, PO2 60, and HCO3 26 torr. Her respiratory rate is 20 breaths per minute (bpm). All other vital signs are stable. You have been consulted to help perform a tracheotomy. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=55870334 ER -