Percutaneous Dilatational Tracheostomy: Ultra-perc Versus Ciaglia Blue Dolphin

Mohamed Sayed Mohamed Abbas60 enrolled

Overview

The aim of this study is to compare Ultra-perc single stage dilator technique with Ciaglia Blue Dolphin ballon dilatation technique for intubated unweanable ICU patients with respect to procedure difficulties and complications.

The investigators conducted a prospective randomized trial to compare Ultra-perc single stage dilator technique (UP) and Ciaglia Blue Dolphin ballon dilatation technique (CBD) From January 2013 to December 2015. The investigators compared the two groups as regards Procedure difficulties including difficult dilatation, difficult tube insertion, failed tube insertion, false passage and tracheal stoma over dilatation. and Procedure complications including cardiac arrest, pneumothorax, pneumomediastinum, subcutaneous emphysema, hemorrhage and lung atelectasis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

ICU Patients Dependant on Mechanical Ventilation : Safest Mode of Performing Percutaneous Tracheostomy Among ICU Ventilated Unweanable Patients

Interventions

percutaneous dilatational tracheostomy using Ultra-PercPROCEDURE

Procedure difficulties and complications faced while doing percutaneous dilatational tracheostomy using Ultra-Perc

Percutaneous dilatational tracheostomy using Ciaglia Blue DolphinPROCEDURE

Procedure difficulties and complications faced while doing percutaneous dilatational tracheostomy using Ciaglia Blue Dolphin

Eligibility

Sex: ALLMin age: 20 Years

Medical Language ↔ Plain English

Inclusion Criteria: * sepsis * cerebrovascular accidents * cervical cord injury * traumatic brain injury * post arrest and chronic obstructive pulmonary disease Exclusion Criteria: * patient or family refusal * emergency tracheostomy * distorted abnormal anatomy * bleeding diathesis * morbid obesity * previous tracheostomy * infected surgical site * Adult respiratory distress syndrome patients requiring high positive end expiratory pressure and high oxygen demands

Outcomes

Primary Outcomes

Procedure difficulties including difficult dilatation, difficult tube insertion, failed tube insertion, false passage and tracheal stoma over dilatation.

Time frame: within 2 years

Procedure complications including cardiac arrest, pneumothorax, pneumomediastinum, subcutaneous emphysema, hemorrhage and lung atelectasis.

Time frame: within 2 years

Data from ClinicalTrials.gov

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