Comparison of 3 Techniques for Percutaneous Tracheostomy : Traditional Marking Technique, Ultrasonography Guided Long Axis Approach and Short Axis Approach
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 主要终点
- successful tube placement rate
研究概览
简要总结
Use of the ultrasound before, during and after percutaneous tracheostomy allows us great advantages; anatomy of the pre and paratracheal region and displaying potential aberrant vessels, and so the needle and dilator to move away from risk areas and ensure the prevention of possible vascular complications. Measuring the distance from the skin into the trachea can be done and this allows us to choose the average size tracheostomy tube.
The aim of this study, In the process of applying percutaneous tracheostomy, to compare the reliability of the traditional landmark method, ultrasound-guided long axis in plane application and ultrasound-guided short axis out of plane application.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
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
- •hospitalized patients in intensive care
- •the decision to open percutaneous tracheostomy
- •over 18 years
排除标准
- •under 18 years
- •Patients with high or unstable intracranial pressure
- •Patients with severe coagulation disorders
- •Patients attached collar
- •hemodynamically unstable patients, despite the use of high doses of vasoactive drugs
- •patients with infections in tracheostomy area
研究组 & 干预措施
landmark group
percutaneous tracheostomy with traditional landmark technique
ultrasound-guided long axis group
percutaneous tracheostomy will be implemented In the real-time ultrasound-guided in plane technique
干预措施: ultrasound-guided percutaneous tracheostomy (Procedure)
ultrasound-guided short axis group
percutaneous tracheostomy will be implemented In the real-time ultrasound-guided out of plane technique
干预措施: ultrasound-guided percutaneous tracheostomy (Procedure)
结局指标
主要结局
successful tube placement rate
时间窗: fifteen minüte
Complications during the procedure
时间窗: one month
The success of the first application
时间窗: ten minute
次要结局
- Early and late complications after the process(one month)
- The number of puncture(ten minute)
- total tracheostomy application time(fifteen minute)
研究者
ILKE KUPELI
assist. prof.
Erzincan University