... tracheostomy (PT) has gained an increasing acceptance as an alternative to the conventional surgical tracheostomy (ST). In experienced hands, and with proper patient selection, it is safe, easy ... of choice in the majority of cases. This is attrib-utable to the fact that, in experienced hands, it is safe, easy and quick, and there is no need to move the patient to the operating room. ... starting the percutaneous technique, and this canbe improved by blunt dissection of the pretracheal tissuewhen using the Cook and Portex kits and, in case of diffi-cult anatomy, by applying...