Comparison Between Real-Time Ultrasound-Guided Percutaneous Dilatational Tracheostomy and Surgical Tracheostomy in Critically Ill Patients: A Randomized Controlled Trial
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Objectives. Tracheostomy is an important procedure for critically ill patients in the intensive care unit (ICU), and percuta-neous dilatational tracheostomy (PDT) has gained popularity due to its safety and effectiveness. However, there arelimited data comparing ultrasound-guided PDT (US-PDT) with surgical tracheostomy (ST). In our previous study, wereported that US-PDT had similar safety and effectiveness to ST, with a shorter procedure time. However, the studydesign was retrospective, and the sample size was small. Therefore, we conducted a randomized controlled trial todemonstrate the safety and efficacy of US-PDT compared to ST. Methods. A total of 70 patients who underwent either US-PDT (n =35) or ST (n =35) were enrolled in the study betweenOctober 20, 2020 and July 26, 2022. The patients were randomly assigned to their respective procedures. The datacollected included patient clinical characteristics, procedure time and details, complications, duration of ICU stay,time taken for weaning from mechanical ventilation, and hospital mortality. Results. The procedure time of US-PDT was shorter than that of ST (4.0±2.2 minutes vs. 10.1±4.6 minutes). The incisionlength of US-PDT was also shorter than that of ST (1.5±0.5 cm vs. 1.8±0.4 cm). There were no statistically signifi-cant differences in demographics, procedure details, complications, length of ICU stay, ventilator weaning time, andhospital mortality. Conclusion. US-PDT has a similar complication rate and shorter procedure time compared with ST. It can be safely and ef-fectively performed in critically ill patients and can serve as a potential alternative to ST.
Abstract
Objectives. Tracheostomy is an important procedure for critically ill patients in the intensive care unit (ICU), and percuta-neous dilatational tracheostomy (PDT) has gained popularity due to its safety and effectiveness. However, there arelimited data comparing ultrasound-guided PDT (US-PDT) with surgical tracheostomy (ST). In our previous study, wereported that US-PDT had similar safety and effectiveness to ST, with a shorter procedure time. However, the studydesign was retrospective, and the sample size was small. Therefore, we conducted a randomized controlled trial todemonstrate the safety and efficacy of US-PDT compared to ST. Methods. A total of 70 patients who underwent either US-PDT (n =35) or ST (n =35) were enrolled in the study betweenOctober 20, 2020 and July 26, 2022. The patients were randomly assigned to their respective procedures. The datacollected included patient clinical characteristics, procedure time and details, complications, duration of ICU stay,time taken for weaning from mechanical ventilation, and hospital mortality. Results. The procedure time of US-PDT was shorter than that of ST (4.0±2.2 minutes vs. 10.1±4.6 minutes). The incisionlength of US-PDT was also shorter than that of ST (1.5±0.5 cm vs. 1.8±0.4 cm). There were no statistically signifi-cant differences in demographics, procedure details, complications, length of ICU stay, ventilator weaning time, andhospital mortality. Conclusion. US-PDT has a similar complication rate and shorter procedure time compared with ST. It can be safely and ef-fectively performed in critically ill patients and can serve as a potential alternative to ST.
참고문헌 (26)
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