Evaluation Of The Effect Of Morphological Structure On Dilatational Tracheostomy Interference Location And Complications

Melike Cengiz

Status: Completed

Conditions: Tracheostomy Complication

Treatments: Device: ultrasonography; Procedure: Percutaneous dilatational tracheostomy; Device: Bronchoscopy; Diagnostic Test: Ultrasound examination; Diagnostic Test: Bronchoscopy application

Study type: Observational

Funder types: Other

Identifiers

NCT05845775

Akdeniz University Medicine

Details and patient eligibility

About

In recent years, percutaneous dilatational tracheostomy has become a frequently performed procedure in intensive care units. However, tracheostomy procedure has risks of complications of varying severity, such as bleeding, subcutaneous emphysema, posterior tracheal wall damage, tracheal stenosis, infection, and fistula in the early and late periods. It is important to determine the anatomical position for tracheal puncture in reducing the risk of complications. It is not always possible to determine the optimal anatomical position for tracheal puncture in patients in the intensive care unit due to reasons such as obesity patient positioning difficulties and tracheal deviation. In this stuy, we have purpose to evaluate the effect of the morphological structure of patients on the dilatational tracheostomy interference location and complications in the percutaneous dilatational tracheostomy procedure (using anatomical landmarks) performed with the forceps dilatation technique, using fiberoptic bronchoscopy and ultrasonography.

Full description

A prospective observational study will be conducted in the Akdeniz University Hospital at the department of Anesthesiology and Intensive Care. Tracheostomy incision site will be determined by using anatomical landmark in all patients. Before the procedure, detailed anatomical measurements showing the morphological structure of the patient (neck thickness, thyromental distance, thyroid cartilage measurement, cricoid cartilage measurement, jugulomental distance, distance between clavicle and cricoid cartilage) will be recorded. In addition, measurements will be made and recorded by ultrasonography. In all patients, the percutaneous dilatational tracheostomy procedure will be performed via fiberoptic bronchoscopy and the tracheal puncture level will be confirmed. Tracheostomy related complications will also be recorded.

Enrollment: 104 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Example:

● Patients undergoing percutaneous dilatational tracheotomy

Inclusion Criteria:

● Clinical indication for tracheostomy

Exclusion Criteria:

• Age <18
• Patients with severe coagulopathy
• Unsuitable anatomy (e.g., previous cervical surgery, cervical trauma, or tumors)

Trial design

104 participants in 1 patient group

percutaneous dilatational tracheostomy

Description:

Patients assigned to percutaneous dilatational tracheostomy

Treatment:

Device: Bronchoscopy

Diagnostic Test: Ultrasound examination

Diagnostic Test: Bronchoscopy application

Procedure: Percutaneous dilatational tracheostomy

Device: ultrasonography