Effects of Tracheal Intubation on Ventilation With a Laryngeal Mask During Percutaneous Dilatation Tracheostomy

University of Padova

Status: Completed

Conditions: Neurological Diseases, Heart or Respiratory Failure,; Sepsis, Trauma.

Study type: Observational

Funder types: Other

Identifiers

NCT00771784

68144

Details and patient eligibility

About

The length of tracheal intubation may affect the subsequent ventilation with a laryngeal mask during percutaneous tracheostomy.

Full description

Percutaneous tracheostomy is routinely performed while patients are being ventilated with a laryngeal mask. The efficacy of ventilation during tracheostomy may be affected by length of previous endotracheal intubation.

This is an observational and monocentric study aimed to evaluate the impact of length of endotracheal intubation on efficacy of lung ventilation with a laryngeal mask. Two groups of patients who have to undergo elective percutaneous tracheostomy after either a short or long endotracheal intubation will be enrolled.

Data on the correlational effects of the endotracheal tube on the integrity of laryngeal structures and on ventilation will be collected.

Statistical analyses will use standard tests to compare the two groups of patients.

Enrollment: 60 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 18-80 years
• mechanical ventilation
• need of percutaneous tracheostomy

Exclusion criteria

• previous pathologies of upper airways or of oesophagus
• risk of bleeding
• need of FiO2 >70% and/or of PEEP >10 cm H2O
• difficult insertion of laryngeal mask
• impossibility of endoscopic visualization of the laryngeal structures

Trial design

60 participants in 2 patient groups

1

Description:

Short term endotracheal intubation.

2

Description:

Long term endotracheal intubation.