COMPARISON BETWEEN BRONCHOSCOPY GUIDED AND REAL TIME ULTRASOUND GUIDED PERCUTANEOUS TRACHEOSTOMY USING GRIGGS TECHNIQUE
Trial Snapshot
- Phase
- Phase 1
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- To see total time duration taken for fiber optic bronchoscopy guided and real time ultrasound guided percutaneous tracheostomy using griggs technique.
Study Overview
Brief Summary
ABSTRACT
Comparison between bronchoscopy guided and real time ultrasound guided percutaneous tracheostomy using Griggs technique.
INTRODUCTION
Percutaneous tracheostomy is usually performed in critically ill patients in intensive care units. It is usually done under fiber optic guidance to allow needle insertion while protecting the real wall damage and to verify cannula location. However, requirement of specialized equipment and staff with specific experience experience, together with possibility of acutely elevated intracranial pressure limits the use of fiber optic in acute brain damage patients.
The use of ultrasound guidance for percutaneous tracheostomy has increased recently with advanatge of portability,safety,pain free , identification of thyroid gland and vascular structures, determination of correct tracheal space and guidance of needle into trachea.
Objectives of our study is to compare efficacy, time taken for each procedure, no of needle puncture attempt, complications and evaluate their accuracy which is defined by wheter puncture is at the centre, site puncture space and visualization of Griggs forcep tip in the space.
MATERIALS AND METHOD:
The study will include 60 patients, 30 in each group.
Primary outcome: total time taken by each procedure.
Secondary outcome: compare no of needle puncture attempts
incidence of complications and accuracy. Accuracy is defined by wheter puncture is at centre, puncture space and visualization of griggs forcep tip in the space.
RESULT:
The above parameters will be recorded and compared.
Study Design
- Study Type
- Interventional
- Allocation
- Other
- Masking
- Not Applicable
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients expected to be on prolong mechanical ventilation(>7 days) INR MAXIMUM 1.4.
Exclusion Criteria
- •Laryngeal/oesophageal/tracheal carcinoma Soft tissue infection of neck Anatomical deformity of neck including enlarged thyroid gland Haematological and terminal malignancies Coagulation disorder Previous tracheostomy Platelet count less than or equal to 80,000.
Outcomes
Primary Outcomes
To see total time duration taken for fiber optic bronchoscopy guided and real time ultrasound guided percutaneous tracheostomy using griggs technique.
Time Frame: 18 months
Secondary Outcomes
- to compare number of needle puncture attempts(incidence of complications of these proceduresand to see accuracy which is defines as wheter puncture is at the centre , site of puncture space and visualization of griggs forcep time in the space.)