Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients

Hongding Lin; Xiaoyan Lin; Renhui Chen; Weiting Chen

doi:doi:10.11648/j.ijacm.20200801.12

| Peer-Reviewed

Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients

Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen

Published in International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 1)

Received: 9 February 2020 Accepted: 20 February 2020 Published: 2 March 2020

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P<0.05); however, the number of punctures and the incidence of air sac leakage were lower in the study group than in the control group. There was no statistically significant difference between the two groups in the postoperative transient hypotension, transient acute hypoxia, atelectasis, infection, and excessive phlegm at the surgical incision, subcutaneous emphysema, and other complications (P>0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 1)
DOI	10.11648/j.ijacm.20200801.12
Page(s)	6-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Percutaneous Dilatation Tracheostomy, ICU, Fiberoptic Bronchoscopy, Ultrasound

References

[1]	Freeman BD. (2017). Tracheostomy Update: When and How. Critical Care Clinics, 33: 311.
[2]	Madsen KR, Guldager H, Rewers M, Weber SO, Købkejacobsen K and White J. (2015). Danish Guidelines 2015 for percutaneous dilatational tracheostomy in the intensive care unit. Danish Medical Journal, 62: 3.
[3]	Masoumi B, Azizkhani R, Emam GH, Asgarzadeh M and Kharazi BZ. (2017). Predictive Value of Tracheal Rapid Ultrasound Exam Performed in the Emergency Department for Verification of Tracheal Intubation. Open Access Macedonian Journal of Medical Sciences, 5 (5): 618-623.
[4]	Chunyu L, Jintai L. Development of Minimally Invasive Tracheotomy. (2005). Chinese journal of medical history, 35 (2): 110-113.
[5]	Antonelli M, Michetti V, Di PA, Conti G, Pennisi MA, Arcangeli A, Montini L, Bocci MG, Bello G and Almadori G. Percutaneous translaryngeal versus surgical tracheostomy: A randomized trial with 1-yr double-blind follow-up. (2005). Critical Care Medicine, 33 (5): 1015-1020.
[6]	Putensen C, Theuerkauf N, Guenther U, Vargas M and Pelosi P.(2014). Percutaneous and surgical tracheostomy in critically ill adult patients: a meta-analysis. Critical Care, 18 (6): 1-21.
[7]	Yang G, Yang L, Rong L, Xing Z, Kaijiang Y. (2014). Clinical application of modified percutaneous dilative tracheostomy in intensive care unit. Chinese Critical Care Medicien, 26 (2): 106-109.
[8]	Abdulla S, Conrad A, Vielhaber S, Eckhardt R and Abdulla W. (2013). Should a percutaneous dilational tracheostomy be guided with a bronchoscope? B-ENT, 9 (3): 227-234.
[9]	Xuwei H, Qianwen Q, Junlong Q. (2016). Clinical application of percutaneous dilated tracheotomy assisted by ultrasound and fiberoptic bronchoscopy. Chinese Journal of Emergency Medicine, 25 (6): 946-949.
[10]	Gobatto AL, Besen BA, Tierno PF, Mendes PV, Cadamuro F, Joelsons D, Melro L, Park M and Malbouisson LM. (2015). Comparison between ultrasound- and bronchoscopy-guided percutaneous dilational tracheostomy in critically ill patients: A retrospective cohort study. Journal of Critical Care, 30 (2). 213-220.
[11]	Gobatto AL, Besen BA, Tierno PF, Mendes PV, Cadamuro F, Joelsons D, Melro L, Carmona MJ, Santori G and Pelosi P. (2016). Ultrasound-guided percutaneous dilational tracheostomy versus bronchoscopy-guided percutaneous dilational tracheostomy in critically ill patients (TRACHUS): a randomized noninferiority controlled trial. Intensive Care Medicine, 42 (3): 342-351.
[12]	Gobatto A, Besen B, Cestari M, Pelosi P and Malbouisson L. (2018). Ultrasound-Guided Percutaneous Dilational Tracheostomy: A Systematic Review of Randomized Controlled Trials and Meta-Analysis. J Intensive Care Med, 1 (6): 355-361.
[13]	Rajajee V, Williamson CA and West BT. (2015). Impact of real-time ultrasound guidance on complications of percutaneous dilatational tracheostomy: a propensity score analysis. Critical Care, 19 (1): 1-10.
[14]	Trouillet JL, Collange O, Belafia F, Blot F, Capellier G, Cesareo E, Constantin JM, Demoule A, Diehl JL and Guinot PG. (2018). Tracheotomy in the intensive care unit: guidelines from a French expert panel. Annals of Intensive Care, 8: 37.
[15]	Lei W, Suyun Y, Weiting C. (2019). Comparison of the effect of ultrasound-guided long-axis in-plane and short-axis out-of-plane methods in internal jugular vein catheterization. Chinese Rural Medicine, 26 (4): 10-11.

Cite This Article

Plain Text BibTeX RIS

APA Style

Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen. (2020). Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. International Journal of Anesthesia and Clinical Medicine, 8(1), 6-10. https://doi.org/10.11648/j.ijacm.20200801.12

Copy | Download

ACS Style

Hongding Lin; Xiaoyan Lin; Renhui Chen; Weiting Chen. Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. Int. J. Anesth. Clin. Med. 2020, 8(1), 6-10. doi: 10.11648/j.ijacm.20200801.12

Copy | Download

AMA Style

Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen. Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. Int J Anesth Clin Med. 2020;8(1):6-10. doi: 10.11648/j.ijacm.20200801.12

Copy | Download

@article{10.11648/j.ijacm.20200801.12,
  author = {Hongding Lin and Xiaoyan Lin and Renhui Chen and Weiting Chen},
  title = {Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {8},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.ijacm.20200801.12},
  url = {https://doi.org/10.11648/j.ijacm.20200801.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20200801.12},
  abstract = {To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients
AU  - Hongding Lin
AU  - Xiaoyan Lin
AU  - Renhui Chen
AU  - Weiting Chen
Y1  - 2020/03/02
PY  - 2020
N1  - https://doi.org/10.11648/j.ijacm.20200801.12
DO  - 10.11648/j.ijacm.20200801.12
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20200801.12
AB  - To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.
VL  - 8
IS  - 1
ER  -

Copy | Download

Author Information

Hongding Lin

Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China
Xiaoyan Lin

Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China
Renhui Chen

Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China
Weiting Chen

Departments of Intensive Care Unit, Taizhou Integrated Chinese and Western Medicine Hospital, Wenling, China

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen. (2020). Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. International Journal of Anesthesia and Clinical Medicine, 8(1), 6-10. https://doi.org/10.11648/j.ijacm.20200801.12

Copy | Download

ACS Style

Hongding Lin; Xiaoyan Lin; Renhui Chen; Weiting Chen. Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. Int. J. Anesth. Clin. Med. 2020, 8(1), 6-10. doi: 10.11648/j.ijacm.20200801.12

Copy | Download

AMA Style

Hongding Lin, Xiaoyan Lin, Renhui Chen, Weiting Chen. Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients. Int J Anesth Clin Med. 2020;8(1):6-10. doi: 10.11648/j.ijacm.20200801.12

Copy | Download

@article{10.11648/j.ijacm.20200801.12,
  author = {Hongding Lin and Xiaoyan Lin and Renhui Chen and Weiting Chen},
  title = {Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {8},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.ijacm.20200801.12},
  url = {https://doi.org/10.11648/j.ijacm.20200801.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20200801.12},
  abstract = {To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients
AU  - Hongding Lin
AU  - Xiaoyan Lin
AU  - Renhui Chen
AU  - Weiting Chen
Y1  - 2020/03/02
PY  - 2020
N1  - https://doi.org/10.11648/j.ijacm.20200801.12
DO  - 10.11648/j.ijacm.20200801.12
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20200801.12
AB  - To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.
VL  - 8
IS  - 1
ER  -

Copy | Download