Health Condition 1: T149- Unspecified injury
Conditions
Interventions
Intervention1: Real Time Ultrasound Guided Percutaneous Dilatational Tracheostomy: Real-time ultrasound guidance is used to identify tracheal rings, midline, vascular structures and optimal puncture s
Sponsors
ALL INDIA ISTITUTE OF MEDICAL SCIENCE
Eligibility
Inclusion criteria
Inclusion criteria: Trauma patients aged 18 years to 65 years admitted to the intensive care unit who require elective percutaneous dilatational tracheostomy for anticipated prolonged mechanical ventilation or airway protection. Patients should be hemodynamically stable and written informed consent must be obtained from the patient or legally authorized representative.
Exclusion criteria
Exclusion criteria: Patients younger than 18 years or older than 65 years, those requiring emergency tracheostomy, patients with uncorrected coagulopathy, infection or burn at the planned tracheostomy site, distorted neck anatomy such as neck mass, large goiter or previous neck surgery or refusal of consent by patient or legally authorized representative.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Procedure related complications [Intra-procedural bleeding (ml), Tube malposition or cuff leak, Subcutaneous emphysema.]Timepoint: Baseline and within 1 hour | — |
Secondary
| Measure | Time frame |
|---|---|
| First pass success rate.Timepoint: Within 1 hour of procedure;Number of Tube Insertion Attempts.Timepoint: within 1 hour;Total procedure duration(in minutes).Timepoint: within 1 hour;Hemodynamic Changes (MAP, HR).Timepoint: within 1 hour | — |
Countries
India
Contacts
Public ContactDr Md Ali Khan
AIIMS Patna
Outcome results
None listed