NCT03141294

Reformative Versus Single Step Dilation Percutaneous Dilatational Tracheostomy

Reformative Versus Single Step Dilation Percutaneous Dilatational Tracheostomy: a Randomized Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 46 (actual)
• Sponsor: The First Affiliated Hospital with Nanjing Medical University · Academic / Other
• Sex: All
• Age: 44 Years – 89 Years
• Healthy volunteers: Not accepted

Summary

Percutaneous dilatational tracheostomy (PDT), especially single-step dilatational tracheostomy (sd-PDT), is now frequently preferred to surgical tracheostomy. Occasionally, it needs a second dilation maneuver .Dissection of the deep cervical fascia during PDT, known as reformative PDT (re-PDT), may facilitate the procedure. This study was designed to compare re-PDT with sd-PDT in ICU patients

Detailed description

Percutaneous dilatational tracheostomy (PDT) is a popular airway management technique in the intensive care unit (ICU).Occasionally the first dilation may be challenging when using Ciaglia and colleagues' method, and a second dilation may be needed to insert the tracheostomy tube. In these circumstances, potentially life-threatening complications, such as hemorrhage and hypoxia, may arise. The investigators found the reasons for difficulty in achieving smooth dilation of the stoma.The investigators compared the traditional method with the improved method.

Conditions

• Respiratory Failure
• Respiratory Depression

Interventions

Type	Name	Description
PROCEDURE	reformative dilation technique	reformative dilation technique was used when operating tracheostomy

Timeline

• Start date: 2012-07-01
• Primary completion: 2016-12-30
• Completion: 2017-02-15
• First posted: 2017-05-05
• Last updated: 2017-05-05

Locations

1 site across 1 country: China