Health Condition 1: Z930- Tracheostomy status
Conditions
Interventions
Intervention1: Tracheostomy: single dilator vs dilator forceps technique for percutaneous dilation tracheostomy in intensive care unit
Intervention2: percutaneous tracheostomy by single dialator techa
Sponsors
Department of anaesthesiology
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anaesthesiologists (ASA) physical status I to IV, admitted in ICU, requiring mechanical ventilation and tracheostomy.
Exclusion criteria
Exclusion criteria: 1. BMI �35 kg/m2 2. Limited neck movement 3. Cervical spine injury 4. Aberrant blood vessels in the neck 5. Thyroid or tracheal pathology 6. Previous neck surgeries 7. Anatomical distortion of trachea or preexisting tracheomalacia 8. Radiotherapy on neck region , previous or ongoing 9. Coagulopathy, clotting disorder 10. Oxygen requirement greater than 0.8 fraction of inspired oxygen (FiO2) or greater than 10 cm of water positive end expiratory pressure(PEEP) 11. Infection in the soft tissues of the neck or at the tracheostomy site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ease and success of percutaneous tracheostomy using single dilator vs dilator forceps techniqueTimepoint: immediate | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time taken to secure airway with single dilator and dilator forceps technique 2. Incidence of complications if any Timepoint: 1. immediate b) 2. immediate, day 1, day 2, day 3 | — |
Countries
India
Contacts
Public ContactDr Shweta
PGIMS, Rohtak
Outcome results
None listed