Airway Trauma, Percutaneous Tracheostomy, Tracheostomy Complication, Tracheostomy Hemorrhage
Conditions
Keywords
percutaneous dilatational tracheostomy, ultrasound guided tracheostomy, landmark guided tracheostomy, pediatric patients
Brief summary
Percutaneous dilatational tracheostomy is one of the most common procedures performed in pediatric intensive care units. The investigators aimed to compare traditional landmark-guided percutaneous dilatational tracheostomy (PDT) and ultrasound-guided percutaneous dilatational tracheostomy in pediatric patients in terms of location, duration, and potential complications related to the procedure.
Detailed description
Tracheostomy, one of the most common procedures performed in intensive care units (ICU), refers to creating a stoma in the anterior wall of the trachea to maintain airway security. Tracheostomy can be formed via a surgical or percutaneous dilatational technique (1). The surgical technique requires the transportation of the patient to the operating theatre, while the percutaneous dilatational technique can be performed in the ICU. Thus, ICU practitioners commonly prefer the percutaneous dilatational technique. Percutaneous dilatational tracheostomy can be performed via three approaches: landmark, ultrasound (USG), or bronchoscopy guided. Although landmark-guided PTD is a practical approach, there are growing concerns regarding the location of the second and third tracheal rings and injuries to vascular structures and the thyroid gland. USG may be helpful to establish the anatomy of the airway and the vascular and glandular structure of the area. The investigators aimed to compare traditional landmark-guided percutaneous dilatational tracheostomy and USG-guided percutaneous dilatational tracheostomy in pediatric patients in terms of location, duration, and potential complications related to the procedure.
Interventions
DEVICEUltrasound-guided percutaneous dilatational tracheosyomy
All of the participants will be examined two times. First, the landmark-guided technique will be performed. Then, the ultrasound-guided technique will be performed.
Sponsors
Aksaray University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
5 Years to 13 Years
Healthy volunteers
Yes
Inclusion criteria
* healthy pediatric patients * between 5 and 13 years old
Exclusion criteria
* neck anomalies * syndromic patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anatomical accuracy of the entry site for percutaneous dilatational tracheostomy | 20 minutes | Identification of the second and third tracheal ring |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Detection of potential complications of the airway entry point determined by the traditional method | 20 minutes | Proximity of the airway entry point determined by the traditional method to vascular and glandular structures |
| The time taken by the landmark-guided and ultrasound-guided techniques | 20 minutes | Time taken to determine the airway entry point with landmark-guided and ultrasound-guided techniques |
Countries
Turkey (Türkiye)
Contacts
Primary ContactCengizhan Kilicaslan, MD
Backup ContactEkin Guran, MD
Outcome results
None listed