Tracheostomy is worldwide performed in Intensive Care Unit (ICU). According to the current literature, indication for percutaneous tracheostomy (PDT) in ICU are: difficult prolonged weaning, prolonged mechanical ventilation, loss of airway reflex, copious secretions, upper airway obstruction. Many studies have focused on the comparison between different PDT techniques and complication. The aim of our study is to evaluate the procedural features, complications, ICU mortality, quality of life, post-discharge mortality of patients undergoing different PDT techniques performed in ICU.
Study Type
OBSERVATIONAL
Enrollment
200
Percutaneous tracheostomies will be performed with the kit commercially available in the current clinical practice.
University of Genoa
Genoa, Italy, Italy
RECRUITINGSafety of percutaneous tracheostomy
Time frame: at the beginning and at the end of the procedure
Early complications
Early complications are:multiple intubation attempts (more than 1), accidental extubation, paratracheal insertion, injuries to blood vessels in the neck, oesophageal injury, accidental decannulation, malposition of the tracheostomy tube, tracheal cuff puncture, multiple punctures (more than 1), surgical conversion and percutaneous tracheostomy failure, minor bleeding (compressible), major bleeding (incompressible), pneumothorax
Time frame: in the first 24 hours from the end of the procedure
Late complications
Late complications are: minor bleeding (compressible), major bleeding (incompressible) tracheostomy puncture site infection, subglottic stenosis, fracture of a tracheal cartilage, granuloma.
Time frame: from the 2nd day ofter the procedure until the ICU discharge (expected average of 2 weeks)
Quality of life
The investigator will use the EURO-QOL
Time frame: at 3, 6 and 12 months after tracheostomy
Evaluation of organ function
The investigator will perform a flexible fiberoptic laryngoscopy.
Time frame: At 3, 6 , and 12 months after tracheostomy
Quality of voice
the investigator will use a KAY elemetrics analyzer.
Time frame: At 3,6, 12 months after tracheostomy
Mortality
Time frame: at 3, 6 and 12 months from tracheostomy
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