Ultrasound-guided Percutaneous Dilatation Tracheostomy: Does it Have a Role in Obese Patients?
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 4
- 主要终点
- Duration of the procedure in both groups in minutes
研究概览
简要总结
To evaluate the usefulness of ultrasound-guided percutaneous dilatation tracheostomy PCT in obese patients.
详细描述
Aim of the work: to evaluate the usefulness of ultrasound-guided percutaneous dilatation tracheostomy PCT in obese patients.
Study objectives:
Primary: determine the duration of the procedure in both groups.
Secondary: determine the incidence of complications in both groups.
Setting of the study: This study will be conducted in the intensive care unit at Suez Canal University Hospital in Ismailia, Egypt.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Device Feasibility
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Critically ill patients aged over 18 years old needing tracheostomy.
- •Both genders.
- •Obese patients with neck circumference ≥ 40 cm.
排除标准
- •Patients with coagulopathy (partial thromboplastin time > 50 seconds and international normalization ratio > 1.5 or platelets count < 80000 / mm3).
- •History of difficult laryngoscopy (Cormack-Lehane Grade 2b view) documented on intubation.
- •Requirement of high Positive End Expiratory Pressure (PEEP > 10 cmH2O) or high fraction inspired oxygen (FiO2 > 0.8).
- •Infection at the site of tracheostomy.
- •Previous neck surgery or radiotherapy.
- •Hypersensitivity to local anesthetics.
结局指标
主要结局
Duration of the procedure in both groups in minutes
时间窗: average forty five minutes.
From start of procedure till skin closure
次要结局
- incidence of complications in both groups(four weeks)
研究者
Mohamed Emad El-Din Abdel-Ghaffar
Professor and chairman, department of Anesthesia and Intensive Care, Faculty of Medicine.
Suez Canal University