Ultrasound-guided percutaneous dilatational tracheostomy (PDT) versus fiber- optic bronchoscopy-guided (PDT) in critically ill patients.
Abdelhameed, S., Abd El Basset, A., Mohammad, M., Khalid, A., El Maraghi, S. (2022). Ultrasound-guided percutaneous dilatational tracheostomy (PDT) versus fiber- optic bronchoscopy-guided (PDT) in critically ill patients.. EKB Journal Management System, 2(2), 29-37. doi: 10.21608/jicem.2022.180527.1012
Shaimaa Abdelhameed; Ahmed Sayed Abd El Basset; Mohammad Farouk Mohammad; Ashraf Khalid; Sameh Kamal El Maraghi. "Ultrasound-guided percutaneous dilatational tracheostomy (PDT) versus fiber- optic bronchoscopy-guided (PDT) in critically ill patients.". EKB Journal Management System, 2, 2, 2022, 29-37. doi: 10.21608/jicem.2022.180527.1012
Abdelhameed, S., Abd El Basset, A., Mohammad, M., Khalid, A., El Maraghi, S. (2022). 'Ultrasound-guided percutaneous dilatational tracheostomy (PDT) versus fiber- optic bronchoscopy-guided (PDT) in critically ill patients.', EKB Journal Management System, 2(2), pp. 29-37. doi: 10.21608/jicem.2022.180527.1012
Abdelhameed, S., Abd El Basset, A., Mohammad, M., Khalid, A., El Maraghi, S. Ultrasound-guided percutaneous dilatational tracheostomy (PDT) versus fiber- optic bronchoscopy-guided (PDT) in critically ill patients.. EKB Journal Management System, 2022; 2(2): 29-37. doi: 10.21608/jicem.2022.180527.1012

Ultrasound-guided percutaneous dilatational tracheostomy (PDT) versus fiber- optic bronchoscopy-guided (PDT) in critically ill patients.

The Egyptian Journal of Intensive Care and Emergency Medicine
Volume 2, Issue 2, December 2022, Pages 29-37    PDF (277.67 K)
Document Type: Original papers
DOI: 10.21608/jicem.2022.180527.1012
Authors
Shaimaa Abdelhameed* 1; Ahmed Sayed Abd El Basset2; Mohammad Farouk Mohammad3; Ashraf Khalid4; Sameh Kamal El Maraghi5
1lecturer critical care departement faculty of medicine , Beni suef university,Beni-Suef,Egypt
2Lecturer of radiodiagnosis Radiology department ,Faculty of medicine ,Beni Suef University,Beni-Suef,Egypt
3Lecturer of pulmonology Pulmonology department,faculty of medicine ,Beni Suef University,Beni-Suef,Egypt
4Professor of ENT ENT department ,faculty of medicine ,Beni Suef University,Beni-Suef,Egypt
5professor of Critical Care Medicine Critical Care Department Faculty of Medicine ; Beni-Suef University,Beni-Suef,Egypt
Abstract
Abstract
Percutaneous dilatational tracheostomy (PDT) is routinely performed by bronchoscopy guided technique in the intensive care unit. Recently, ultrasound has become a potentially useful tool for PDT to reduce procedure-related complications. The aim of this study is to evaluate the safety and the efficacy of real time ultrasound guided PDT compared to bronchoscopy-guided PDT in critically ill patients.
Methods: Randomized controlled trial, done from March 2017 to March 2019 .30 patients were eligible;15 were assigned to bronchoscopy guided PDT and the other 15 were assigned to ultrasound (us) guided PDT.
Main results: There was no statistically significant correlation between procedure type and primary outcomes except for hypoxia and minor bleeding(10 patients in the bronchoscopic group versus 3 patients in the ultrasound guided group ) p=.01. .Regarding secondary outcome ,there was no significant correlation between procedure type ant final hospital outcome.
Conclusion: Ultrasound guided PDT can be used to decrease complications during the procedure with comparable results with bronchoscope.
Keywords
Ultrasound, Tracheostomy, Bronchoscopy
Keywords
Ultrasound; Tracheostomy; Bronchoscopy
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