Ultrasound-guided Versus Landmark-guided Percutaneous Dilational Tracheostomy in Pediatric Patients
- Conditions
- Tracheostomy ComplicationAirway TraumaTracheostomy HemorrhagePercutaneous Tracheostomy
- Interventions
- Device: Ultrasound-guided percutaneous dilatational tracheosyomy
- Registration Number
- NCT05834972
- Lead Sponsor
- Aksaray University
- Brief Summary
Percutaneous dilatational tracheostomy is one of the most common procedures performed in pediatric intensive care units. The investigators aimed to compare traditional landmark-guided percutaneous dilatational tracheostomy (PDT) and ultrasound-guided percutaneous dilatational tracheostomy in pediatric patients in terms of location, duration, and potential complications related to the procedure.
- Detailed Description
Tracheostomy, one of the most common procedures performed in intensive care units (ICU), refers to creating a stoma in the anterior wall of the trachea to maintain airway security. Tracheostomy can be formed via a surgical or percutaneous dilatational technique (1). The surgical technique requires the transportation of the patient to the operating theatre, while the percutaneous dilatational technique can be performed in the ICU. Thus, ICU practitioners commonly prefer the percutaneous dilatational technique.
Percutaneous dilatational tracheostomy can be performed via three approaches: landmark, ultrasound (USG), or bronchoscopy guided. Although landmark-guided PTD is a practical approach, there are growing concerns regarding the location of the second and third tracheal rings and injuries to vascular structures and the thyroid gland. USG may be helpful to establish the anatomy of the airway and the vascular and glandular structure of the area.
The investigators aimed to compare traditional landmark-guided percutaneous dilatational tracheostomy and USG-guided percutaneous dilatational tracheostomy in pediatric patients in terms of location, duration, and potential complications related to the procedure.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 100
- healthy pediatric patients
- between 5 and 13 years old
- neck anomalies
- syndromic patients
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Ultrasound-guided percutaneous dilatational tracheostomy Ultrasound-guided percutaneous dilatational tracheosyomy All patients will be enrolled two times. First, an experienced anesthesiologist will examine the neck anatomy and mark the second or third tracheal ring using the traditional landmark-guided technique, and the duration will be recorded. Then, the same anesthesiologist will examine the neck anatomy and mark the second or third tracheal ring using the ultrasound (USG)-guided approach, and the duration will be recorded. The distance between these two aforementioned markings will be measured and recorded. The first marking determined by the landmark method will be looked at with USG and where it corresponds anatomically will be recorded. Also, the vascular and glandular structures of the area and potential complications will be noted.
- Primary Outcome Measures
Name Time Method Anatomical accuracy of the entry site for percutaneous dilatational tracheostomy 20 minutes Identification of the second and third tracheal ring
- Secondary Outcome Measures
Name Time Method The time taken by the landmark-guided and ultrasound-guided techniques 20 minutes Time taken to determine the airway entry point with landmark-guided and ultrasound-guided techniques
Detection of potential complications of the airway entry point determined by the traditional method 20 minutes Proximity of the airway entry point determined by the traditional method to vascular and glandular structures
Trial Locations
- Locations (1)
Aksaray University
🇹🇷Aksaray, Turkey