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. 2020 Apr 25;110(3):1006–1011. doi: 10.1016/j.athoracsur.2020.04.010

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© 2020 by The Society of Thoracic Surgeons Published by Elsevier.

Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Percutaneous dilational tracheostomy in COVID-19 patients using novel visualization technique. (a) Three team members positioning in the patient’s room. (b) View of vocal cords using flexible bronchoscopy. (c) Visualization of trachea and cartilaginous rings anterior to endotracheal tube through bronchoscope. (d) Bronchoscopic visualization of needle insertion. (e) Wire insertion under bronchoscopic visualization. (f) Technique of dilation with Ciaglia Blue Rhino (Cook Medical, Bloomington, IN) dilator with endotracheal tube in place.