CriticalMindAI — NeuroICU Training Center

Module 4: Procedural Techniques

0.33 CME credits · Estimated 20 minutes

Hands-on guidance for percutaneous tracheostomy and ultrasound-guided gastrostomy technique at the bedside. Covers the Seldinger approach, ultrasound landmark identification, dilator sequence, tube placement verification, and complication management.

Learning Objectives

Master percutaneous dilational tracheostomy technique
Apply ultrasound-guided approach for PUG placement
Identify anatomical landmarks under ultrasound guidance
Recognize and manage immediate procedural complications

Technique Overview

Patient positioning and bronchoscopic guidance for tracheostomy
Seldinger wire technique with sequential dilation
Ultrasound identification of gastric window for PUG access
Verification of tube placement with radiographic or endoscopic confirmation
Post-procedure tube securing and initial care instructions

Module 4: Procedural Techniques

Learning Objectives

Technique Overview

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