Comparison of percutaneous single-stage dilatational tracheostomy and surgical tracheostomy in critically ill patients: A randomized controlled trial.

Q3 Medicine International Journal of Critical Illness and Injury Science Pub Date : 2024-01-01 Epub Date: 2024-03-27 DOI:10.4103/ijciis.ijciis_53_23

Tanmay Katial, Soumya Shree, Keshabanand Mishra, Shivanand Mishra, Mohd Adil Mustajab, Mohit Gupta

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Abstract

Background: This study was done to compare single stage percutaneous dilation tracheostomy (PDT) and open surgical tracheostomy (ST) in critically ill patients.

Methods: A randomized controlled study was conducted on 60 critically ill patients admitted in the intensive care unit (ICU). The patients were randomized into ST or PDT group with 30 in each group. The duration of procedure and associated perioperative/postoperative complications were noted and compared.

Results: A total of 60 critically ill patients were included with 30 each in both groups. Compared to ST, PDT had significantly lesser mean duration of procedure (5 ± 1.64 vs. 21.33 ± 4.77 min, P < 0.0001) and comparable incidence of complications (3.33% vs. 20%, P = 0.103), which included 5-10 ml of bleeding (0% vs. 13.33%), cardiac arrest (0% vs. 3.33%), atrial fibrillation (3.33% vs. 0%), and tracheoesophageal fistula (0% vs. 3.33%).

Conclusion: PDT performed in the ICU is a quick, safe, and reliable procedure with comparable complications to ST.

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重症患者经皮单段扩张气管造口术与外科气管造口术的比较：随机对照试验。

背景：本研究比较了重症患者单段经皮扩张气管切开术（PDT）和开放手术气管切开术（ST）：本研究旨在比较重症患者单段经皮扩张气管造口术（PDT）和开放手术气管造口术（ST）：对重症监护室（ICU）收治的 60 名重症患者进行了随机对照研究。患者被随机分为 ST 组和 PDT 组，每组 30 人。研究人员记录并比较了手术持续时间和相关的围手术期/术后并发症：结果：共纳入 60 名重症患者，两组各 30 人。与 ST 相比，PDT 的平均手术时间明显较短（5 ± 1.64 对 21.33 ± 4.77 分钟，P < 0.0001），并发症发生率也相当（3.33% 对 20%，P = 0.103），其中包括 5-10 毫升的血浆。103），其中包括 5-10 毫升出血（0% vs. 13.33%）、心跳骤停（0% vs. 3.33%）、心房颤动（3.33% vs. 0%）和气管食管瘘（0% vs. 3.33%）：结论：在重症监护室进行光动力疗法是一种快速、安全、可靠的治疗方法，其并发症与 ST 相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Critical Illness and Injury Science Medicine-Emergency Medicine

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： IJCIIS encourages research, education and dissemination of knowledge in the field of Critical Illness and Injury Science across the world thus promoting translational research by striking a synergy between basic science, clinical medicine and public health. The Journal intends to bring together scientists and academicians in the emergency intensive care and promote translational synergy between Laboratory Science, Clinical Medicine and Public Health. The Journal invites Original Articles, Clinical Investigations, Epidemiological Analysis, Data Protocols, Case Reports, Clinical Photographs, review articles and special commentaries. Students, Residents, Academicians, Public Health experts and scientists are all encouraged to be a part of this initiative by contributing, reviewing and promoting scientific works and science.