Evaluation Of The Effect Of Morphological Structure On Dilatational Tracheostomy Interference Location And Complications
- Conditions
- Tracheostomy Complication
- Interventions
- Procedure: Percutaneous dilatational tracheostomyDevice: BronchoscopyDevice: ultrasonographyDiagnostic Test: Bronchoscopy applicationDiagnostic Test: Ultrasound examination
- Registration Number
- NCT05845775
- Lead Sponsor
- Melike Cengiz
- Brief Summary
In recent years, percutaneous dilatational tracheostomy has become a frequently performed procedure in intensive care units. However, tracheostomy procedure has risks of complications of varying severity, such as bleeding, subcutaneous emphysema, posterior tracheal wall damage, tracheal stenosis, infection, and fistula in the early and late periods. It is important to determine the anatomical position for tracheal puncture in reducing the risk of complications. It is not always possible to determine the optimal anatomical position for tracheal puncture in patients in the intensive care unit due to reasons such as obesity patient positioning difficulties and tracheal deviation. In this stuy, we have purpose to evaluate the effect of the morphological structure of patients on the dilatational tracheostomy interference location and complications in the percutaneous dilatational tracheostomy procedure (using anatomical landmarks) performed with the forceps dilatation technique, using fiberoptic bronchoscopy and ultrasonography.
- Detailed Description
A prospective observational study will be conducted in the Akdeniz University Hospital at the department of Anesthesiology and Intensive Care. Tracheostomy incision site will be determined by using anatomical landmark in all patients. Before the procedure, detailed anatomical measurements showing the morphological structure of the patient (neck thickness, thyromental distance, thyroid cartilage measurement, cricoid cartilage measurement, jugulomental distance, distance between clavicle and cricoid cartilage) will be recorded. In addition, measurements will be made and recorded by ultrasonography. In all patients, the percutaneous dilatational tracheostomy procedure will be performed via fiberoptic bronchoscopy and the tracheal puncture level will be confirmed. Tracheostomy related complications will also be recorded.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 104
â—Ź Clinical indication for tracheostomy
- Age <18
- Patients with severe coagulopathy
- Unsuitable anatomy (e.g., previous cervical surgery, cervical trauma, or tumors)
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description percutaneous dilatational tracheostomy ultrasonography Patients assigned to percutaneous dilatational tracheostomy percutaneous dilatational tracheostomy Percutaneous dilatational tracheostomy Patients assigned to percutaneous dilatational tracheostomy percutaneous dilatational tracheostomy Bronchoscopy Patients assigned to percutaneous dilatational tracheostomy percutaneous dilatational tracheostomy Bronchoscopy application Patients assigned to percutaneous dilatational tracheostomy percutaneous dilatational tracheostomy Ultrasound examination Patients assigned to percutaneous dilatational tracheostomy
- Primary Outcome Measures
Name Time Method The effect of morphological structure on the percutaneous dilatational tracheostomy April 30, 2023-October 30, 2023 (6 months) The relationship of anatomical position for tracheal puncture and complications with morphological structure of the patient (neck thickness, thyromental distance, thyroid cartilage measurement, cricoid cartilage measurement, jugulomental distance, distance between clavicle and cricoid cartilage)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Akdeniz University School of Medicine, Department of Anesthesiology and Intensive Care, Turkey
🇹🇷Antalya, Turkey