Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical Trial
Background and purpose: Percutaneous dilatational tracheostomy is widely accepted in many Intensive Care Units (ICU) in the word. The aim of this study was to compare the complications of Modified Percutaneous Dilatational Tracheostomy (MPDT) with or without bronchoscopy. Materials and methods: A ra...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2019-02-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
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| Online Access: | http://jmums.mazums.ac.ir/article-1-11835-en.html |
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| author | Parviz Amri Maleh Fatemeh Amri Maleh Novin Nikbakhsh Mahmood Monadi Ali Bijani |
| author_facet | Parviz Amri Maleh Fatemeh Amri Maleh Novin Nikbakhsh Mahmood Monadi Ali Bijani |
| author_sort | Parviz Amri Maleh |
| collection | DOAJ |
| description | Background and purpose: Percutaneous dilatational tracheostomy is widely accepted in many Intensive Care Units (ICU) in the word. The aim of this study was to compare the complications of Modified Percutaneous Dilatational Tracheostomy (MPDT) with or without bronchoscopy.
Materials and methods: A randomized clinical trial was performed in 270 ICU patients, candidate for tracheostomy in Babol Rouhani Hospital, between April 2013 and May 2018. They were systematically divided into two groups. MPDT was carried out in both groups. At first, the transverse section (2 cm) was given 1 cm below the cricoid cartilage, then PDT was performed after seeing the trachea ring. In the first group, PDT was performed without a bronchoscope and in the second group the PDT was done applying bronchoscopic guide. The procedure time, waiting time to tracheostomy, complications such as hemorrhage, stomal infection, and pneumothorax were compared in two groups. Data were analyzed in SPSS V22 using Chi-square, independent sample, and Fisher exact test.
Results: There were no differences between the two groups in age, sex, mean apache score, and mortality (P> 0.05). The mean waiting time to tracheostomy was not significantly different (P= 0.632). The procedure time in the PDT without bronchoscopy was 6.44 ± 3.54 min and in the PDT with bronchoscopy was 9.25 ± 3.30 min (P<0.001). The complication rate in the PDT without bronchoscopy was 14 (10.4%) and in the bronchoscopy group was 12 (8.9%) (P= 0.680).
Conclusion: Modified PDT without bronchoscopy is as safe as PDT with bronchoscope.
(Clinical Trials Registry Number: IRCT201602297752N8) |
| first_indexed | 2024-04-10T20:30:30Z |
| format | Article |
| id | doaj.art-3b251a12a45943baa347f89437366a1c |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-04-10T20:30:30Z |
| publishDate | 2019-02-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-3b251a12a45943baa347f89437366a1c2023-01-25T06:58:45ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792019-02-01281694351Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical TrialParviz Amri Maleh0Fatemeh Amri Maleh1Novin Nikbakhsh2Mahmood Monadi3Ali Bijani4 Associate Professor, Department of Anestesiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran General Practitioner, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran Associate Professor, Department of Surgery, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran Assistant Professor, Department of Internal Medicine, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran Assistant Professor, Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran Background and purpose: Percutaneous dilatational tracheostomy is widely accepted in many Intensive Care Units (ICU) in the word. The aim of this study was to compare the complications of Modified Percutaneous Dilatational Tracheostomy (MPDT) with or without bronchoscopy. Materials and methods: A randomized clinical trial was performed in 270 ICU patients, candidate for tracheostomy in Babol Rouhani Hospital, between April 2013 and May 2018. They were systematically divided into two groups. MPDT was carried out in both groups. At first, the transverse section (2 cm) was given 1 cm below the cricoid cartilage, then PDT was performed after seeing the trachea ring. In the first group, PDT was performed without a bronchoscope and in the second group the PDT was done applying bronchoscopic guide. The procedure time, waiting time to tracheostomy, complications such as hemorrhage, stomal infection, and pneumothorax were compared in two groups. Data were analyzed in SPSS V22 using Chi-square, independent sample, and Fisher exact test. Results: There were no differences between the two groups in age, sex, mean apache score, and mortality (P> 0.05). The mean waiting time to tracheostomy was not significantly different (P= 0.632). The procedure time in the PDT without bronchoscopy was 6.44 ± 3.54 min and in the PDT with bronchoscopy was 9.25 ± 3.30 min (P<0.001). The complication rate in the PDT without bronchoscopy was 14 (10.4%) and in the bronchoscopy group was 12 (8.9%) (P= 0.680). Conclusion: Modified PDT without bronchoscopy is as safe as PDT with bronchoscope. (Clinical Trials Registry Number: IRCT201602297752N8)http://jmums.mazums.ac.ir/article-1-11835-en.htmlintensive care unitpercutaneous dilatational tracheostomyfiberoptic bronchoscopycomplications |
| spellingShingle | Parviz Amri Maleh Fatemeh Amri Maleh Novin Nikbakhsh Mahmood Monadi Ali Bijani Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical Trial Journal of Mazandaran University of Medical Sciences intensive care unit percutaneous dilatational tracheostomy fiberoptic bronchoscopy complications |
| title | Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical Trial |
| title_full | Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical Trial |
| title_fullStr | Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical Trial |
| title_full_unstemmed | Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical Trial |
| title_short | Modified Percutaneous Dilatational Tracheostomy with or without Bronchoscopy: A Randomized Clinical Trial |
| title_sort | modified percutaneous dilatational tracheostomy with or without bronchoscopy a randomized clinical trial |
| topic | intensive care unit percutaneous dilatational tracheostomy fiberoptic bronchoscopy complications |
| url | http://jmums.mazums.ac.ir/article-1-11835-en.html |
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