Percutaneous dilatational tracheostomy is one of the most common procedures performed in pediatric intensive care units. The investigators aimed to compare traditional landmark-guided percutaneous dilatational tracheostomy (PDT) and ultrasound-guided percutaneous dilatational tracheostomy in pediatric patients in terms of location, duration, and potential complications related to the procedure.
Tracheostomy, one of the most common procedures performed in intensive care units (ICU), refers to creating a stoma in the anterior wall of the trachea to maintain airway security. Tracheostomy can be formed via a surgical or percutaneous dilatational technique (1). The surgical technique requires the transportation of the patient to the operating theatre, while the percutaneous dilatational technique can be performed in the ICU. Thus, ICU practitioners commonly prefer the percutaneous dilatational technique. Percutaneous dilatational tracheostomy can be performed via three approaches: landmark, ultrasound (USG), or bronchoscopy guided. Although landmark-guided PTD is a practical approach, there are growing concerns regarding the location of the second and third tracheal rings and injuries to vascular structures and the thyroid gland. USG may be helpful to establish the anatomy of the airway and the vascular and glandular structure of the area. The investigators aimed to compare traditional landmark-guided percutaneous dilatational tracheostomy and USG-guided percutaneous dilatational tracheostomy in pediatric patients in terms of location, duration, and potential complications related to the procedure.
Study Type
OBSERVATIONAL
Enrollment
100
All of the participants will be examined two times. First, the landmark-guided technique will be performed. Then, the ultrasound-guided technique will be performed.
Aksaray University
Aksaray, Turkey (Türkiye)
Anatomical accuracy of the entry site for percutaneous dilatational tracheostomy
Identification of the second and third tracheal ring
Time frame: 20 minutes
Detection of potential complications of the airway entry point determined by the traditional method
Proximity of the airway entry point determined by the traditional method to vascular and glandular structures
Time frame: 20 minutes
The time taken by the landmark-guided and ultrasound-guided techniques
Time taken to determine the airway entry point with landmark-guided and ultrasound-guided techniques
Time frame: 20 minutes
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