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Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients

Received: 9 February 2020     Accepted: 20 February 2020     Published: 2 March 2020
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Abstract

To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P<0.05); however, the number of punctures and the incidence of air sac leakage were lower in the study group than in the control group. There was no statistically significant difference between the two groups in the postoperative transient hypotension, transient acute hypoxia, atelectasis, infection, and excessive phlegm at the surgical incision, subcutaneous emphysema, and other complications (P>0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 1)
DOI 10.11648/j.ijacm.20200801.12
Page(s) 6-10
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Percutaneous Dilatation Tracheostomy, ICU, Fiberoptic Bronchoscopy, Ultrasound

References
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Cite This Article
  • APA Style

    Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen. (2020). Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. International Journal of Anesthesia and Clinical Medicine, 8(1), 6-10. https://doi.org/10.11648/j.ijacm.20200801.12

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    ACS Style

    Hongding Lin; Xiaoyan Lin; Renhui Chen; Weiting Chen. Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. Int. J. Anesth. Clin. Med. 2020, 8(1), 6-10. doi: 10.11648/j.ijacm.20200801.12

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    AMA Style

    Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen. Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. Int J Anesth Clin Med. 2020;8(1):6-10. doi: 10.11648/j.ijacm.20200801.12

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  • @article{10.11648/j.ijacm.20200801.12,
      author = {Hongding Lin and Xiaoyan Lin and Renhui Chen and Weiting Chen},
      title = {Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {8},
      number = {1},
      pages = {6-10},
      doi = {10.11648/j.ijacm.20200801.12},
      url = {https://doi.org/10.11648/j.ijacm.20200801.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20200801.12},
      abstract = {To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.},
     year = {2020}
    }
    

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    AU  - Hongding Lin
    AU  - Xiaoyan Lin
    AU  - Renhui Chen
    AU  - Weiting Chen
    Y1  - 2020/03/02
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    N1  - https://doi.org/10.11648/j.ijacm.20200801.12
    DO  - 10.11648/j.ijacm.20200801.12
    T2  - International Journal of Anesthesia and Clinical Medicine
    JF  - International Journal of Anesthesia and Clinical Medicine
    JO  - International Journal of Anesthesia and Clinical Medicine
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.ijacm.20200801.12
    AB  - To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.
    VL  - 8
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Author Information
  • Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China

  • Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China

  • Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China

  • Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China

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