Comparison Between Bronchoscopy and Real- Time Ultrasound Guided Percutaneous Dilatational Tracheostomy for Safety, Complications and Efficiency in Critically Ill Patient
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Tracheostomy Complications
- Sponsor
- Aykut Saritas
- Enrollment
- 80
- Primary Endpoint
- procedure failure of ultrasound to provide this anatomical information and ease of perform
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Trial is a randomized study to compare between ultrasound guided percutaneous tracheostomy and bronchoscopy guided percutaneous tracheostomy.
Detailed Description
Trial is a randomized study to compare between ultrasound guided percutaneous tracheostomy and bronchoscopy guided percutaneous tracheostomy. Patients will be randomly assigned to be submitted to evaluate safety, complication rates, easy to perform , clinical outcomes and effectivity.
Investigators
Aykut Saritas
principal investigator
Tepecik Training and Research Hospital
Eligibility Criteria
Inclusion Criteria
- •All intubated and mechanically ventilated patients indicated for a tracheostomy
Exclusion Criteria
- •Patients with tracheal or neck abnormalities, soft tissue infection in the neck, neck surgery history, oxygenation problems , coagulation disorders or coagulation parameter changes and those requiring urgent or surgery patients unable to provide informed consent.
Outcomes
Primary Outcomes
procedure failure of ultrasound to provide this anatomical information and ease of perform
Time Frame: During percutaneous tracheostomy an expected average time 20 minutes
occurence of a major complications: bleeding, subcutaneous emphysema, oesophageal perforation, number of applied needle interventions, procedure duration, cardiorespiratory arrest
Secondary Outcomes
- Pneumothorax(Participants will be followed for the duration of hospital stay, an expected average of 4 weeks)
- Accidental decannulation(Participants will be followed for the duration of hospital stay, an expected average of 4 weeks)
- Minor bleeding(Participants will be followed for the duration of hospital stay, an expected average of 4 weeks)
- procedure time(during percutaneous tracheostomy ( average expected time 20 minutes))
- Tracheal posterior wall injury(Participants will be followed for the duration of hospital stay, an expected average of 4 weeks)
- Major bleeding(During the procedure an expected average of 20 minutes)
- Cardiorespiratory arrest(during percutaneous tracheostomy an expected average of 20 minutes)