Volume 8, Issue 1, June 2020, Page: 6-10
Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients
Hongding Lin, Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China; Kunming Medical University Haiyuan College, Kunming, China
Xiaoyan Lin, Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China
Renhui Chen, Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China
Weiting Chen, Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China
Received: Feb. 9, 2020;       Accepted: Feb. 20, 2020;       Published: Mar. 2, 2020
DOI: 10.11648/j.ijacm.20200801.12      View  164      Downloads  38
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.
Keywords
Percutaneous Dilatation Tracheostomy, ICU, Fiberoptic Bronchoscopy, Ultrasound
To cite this article
Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen, Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients, International Journal of Anesthesia and Clinical Medicine. Vol. 8, No. 1, 2020, pp. 6-10. doi: 10.11648/j.ijacm.20200801.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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