Ultrasound-guided percutaneous dilatational tracheostomy (PDT) versus fiber- optic bronchoscopy-guided (PDT) in critically ill patients.

Document Type : Original papers

Authors

1 lecturer critical care departement faculty of medicine , Beni suef university,Beni-Suef,Egypt

2 Lecturer of radiodiagnosis Radiology department ,Faculty of medicine ,Beni Suef University,Beni-Suef,Egypt

3 Lecturer of pulmonology Pulmonology department,faculty of medicine ,Beni Suef University,Beni-Suef,Egypt

4 Professor of ENT ENT department ,faculty of medicine ,Beni Suef University,Beni-Suef,Egypt

5 professor of Critical Care Medicine Critical Care Department Faculty of Medicine ; Beni-Suef University,Beni-Suef,Egypt

Abstract

Abstract
Percutaneous dilatational tracheostomy (PDT) is routinely performed by bronchoscopy guided technique in the intensive care unit. Recently, ultrasound has become a potentially useful tool for PDT to reduce procedure-related complications. The aim of this study is to evaluate the safety and the efficacy of real time ultrasound guided PDT compared to bronchoscopy-guided PDT in critically ill patients.
Methods: Randomized controlled trial, done from March 2017 to March 2019 .30 patients were eligible;15 were assigned to bronchoscopy guided PDT and the other 15 were assigned to ultrasound (us) guided PDT.
Main results: There was no statistically significant correlation between procedure type and primary outcomes except for hypoxia and minor bleeding(10 patients in the bronchoscopic group versus 3 patients in the ultrasound guided group ) p=.01. .Regarding secondary outcome ,there was no significant correlation between procedure type ant final hospital outcome.
Conclusion: Ultrasound guided PDT can be used to decrease complications during the procedure with comparable results with bronchoscope.
Keywords
Ultrasound, Tracheostomy, Bronchoscopy

Keywords

The Egyptian Journal of Intensive Care and Emergency Medicine
Volume 2, Issue 2
December 2022
Pages 29-37

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