Background: To evaluate problems arisen du-ring Fantoni translaryngeal tracheostomy (TLT).
Setting: intensive care unit.
Patients: 220 patients (aged from 18 to 87).
Aim: To prepare a variation to the original Fantoni technique for the purpose of performing a translaryngeal tracheostomy (TLT) without the need for repeated endotracheal intubation operations, neck movements and phases of apnea, in order to make this technique practicable and completely safe in the case of patients who are difficult to intubate, have cervical rachis injuries or suffer from serious hypoxemia.
Setting: Multi-purpose intensive care.
Patients: Fourteen patients (18-79 years old) to undergo tracheostomy, suffering from various limitations contraindicating the performance of a TLT according to the original Fantoni technique.