Percutaneous Dilatational Tracheostomy: Ultra-perc Versus Ciaglia Blue Dolphin

Mohamed Sayed Mohamed Abbas

Status

Completed

Conditions

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

Treatments

Procedure: Percutaneous dilatational tracheostomy using Ciaglia Blue Dolphin

Procedure: percutaneous dilatational tracheostomy using Ultra-Perc

Study type

Interventional

Funder types

Other

Identifiers

NCT02754921

MSAT-2

Details and patient eligibility

About

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.

Full description

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.

Enrollment

60 patients

Sex

All

Ages

20+ years old

Volunteers

No Healthy Volunteers

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