None listed
Conditions
Brief summary
Tracheostomy is usually performed in patients with difficult weaning from mechanical ventilation or some catastrophic neurologic insult. Percutaneous dilatational tracheostomy (PDT) is increasingly popular and has gained widespread acceptance in many ICU and trauma centers as a viable alternative approach. 64 critically ill patients admitted to intensive care unite subjected to tracheostomy and randomly divided into two groups; percutaneous dilatational tracheostomy (PDT) and conventional surgical tracheostomy (CST).Operations were performed by the surgical team in the university hospital, department of Otolaryngology, Faculty of medicine, Suez Canal University, Egypt from 1/2/2007 to 31/8/2010. The aim was to compare the outcome of both techniques regarding mortality rate, intraoperative bleeding,the tracheostomy tube size and wound infection. Conclusion: PDT technique is similar effective and safe as CST with low incidence of post operative complication.
Interventions
All patients were subjected to general anesthesia and orotracheal intubation with continuous monitoring arterial blood gasses , blood pressure, electrocardiography , pulse oximetry , intra operative blood loss and record to tracheostomy tube size. Percutaneous dilatational tracheostomy (PDT) was done using the Griggs’ guide wire dilating forceps technique (through trans cervical insertion and the trachea cannulated with 14-G cannula between the second, or the second and third tracheal rings and
All patients were subjected to general anesthesia and orotracheal intubation with continuous monitoring arterial blood gasses , blood pressure, electrocardiography , pulse oximetry , intra operative blood loss and record to tracheostomy tube size. Percutaneous dilatational tracheostomy (PDT) was done using the Griggs’ guide wire dilating forceps technique (through trans cervical insertion and the trachea cannulated with 14-G cannula between the second, or the second and third tracheal rings and J guide wire inserted followed by blunt dilation.This procedure was successful n the PDT group and was performed as a single intervention for each patient with a mean operative time of 20 minutes.
Sponsors
Tarek .F. Youssef
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
32 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
critically ill patients admitted to intensive care unite for prolonged intubation, airway protection or pulmonary hygiene .
Exclusion criteria
Patients with distorted anatomy, history of previous surgery at the neck , bleeding disorder, goiter , neck masses , unstable general condition or cervical spine trauma were excluded.
Outcome results
None listed