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Comparative Study between Ultrasound-guided Percutaneous Dilatational Tracheostomy Versus Bronchoscopy-guided Percutaneous Dilatational Tracheostomy in Mechanically Ventilated Critically Ill Patients.

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Názov: Comparative Study between Ultrasound-guided Percutaneous Dilatational Tracheostomy Versus Bronchoscopy-guided Percutaneous Dilatational Tracheostomy in Mechanically Ventilated Critically Ill Patients.
Autori: El Said, Amr Mohamed1, Fathi, Yasser Ibrahim2, Salama, Asmaa Esmail2, Alshafei, Hany Ahmed3 hanyelshafiey@gmail.com
Zdroj: Zagazig University Medical Journal. Jul2025, Vol. 31 Issue 7, p2832-2844. 13p.
Predmety: *CRITICALLY ill patient care, *INTENSIVE care patients, *INTENSIVE care units, *LENGTH of stay in hospitals, *ARTIFICIAL respiration, *BRONCHOSCOPY
Abstract (English): Background: Percutaneous dilatational tracheostomy (PDT) is widely practiced among critically ill patients in intensive care units (ICUs)owing to its safety.Medical professionals increasingly use fiberoptic bronchoscopy or ultrasound for PDT guidance instead of blind procedures. The objective of our study was to compare the safety and efficacy of ultrasound-guided PDT to bronchoscopy-guided PDT in critically ill ventilated patients. Methods: 40 adult patients were prospectively randomized into two groups: Group I (n=20) guided by bronchoscopy and Group II (n=20) guided by ultrasound. Results: Group II had a significantly shorter procedural duration (P < 0.001). No significant differences emerged in intubation reasons, ventilation duration before tracheostomy, or tracheostomy motives. Procedural challenges, complications, and outcomes were comparable between both groups. Moreover pre- and post-procedure P/F ratios, ICU or hospital stay length, and mortality rates showed no notable differences. Conclusions: Ultrasound or bronchoscopy guided PDT in critically ill patients showed comparable results in terms of complications and outcomes. However, a significant difference was noted in procedural duration. [ABSTRACT FROM AUTHOR]
Abstract (Arabic): المقال يركز على دراسة مقارنة تقييم سلامة وفعالية عملية التهوية الرغامي التوسعية الموجهة بالموجات فوق الصوتية (PDT) مقابل عملية التهوية الرغامي التوسعية الموجهة بالبرونكوسكوب في المرضى الذين يعانون من حالات حرجة ويتطلبون التهوية الميكانيكية. شملت الدراسة 40 مريضًا بالغًا، تم تقسيمهم إلى مجموعتين، وأظهرت النتائج أن عملية PDT الموجهة بالموجات فوق الصوتية كانت لها مدة إجراء أقصر بشكل ملحوظ مقارنة بعملية PDT الموجهة بالبرونكوسكوب (13.85 دقيقة مقابل 21.40 دقيقة). ومع ذلك، أظهرت الطريقتان نتائج متقاربة من حيث المضاعفات، ومدة الإقامة في وحدة العناية المركزة والمستشفى، ومعدلات الوفيات، مما يشير إلى أنه بينما قد تعزز التوجيه بالموجات فوق الصوتية كفاءة الإجراء، فإن كلا الطريقتين آمنتان بشكل مشابه للمرضى الذين يعانون من حالات حرجة. [Extracted from the article]
Databáza: Academic Search Index
Popis
Abstrakt:Background: Percutaneous dilatational tracheostomy (PDT) is widely practiced among critically ill patients in intensive care units (ICUs)owing to its safety.Medical professionals increasingly use fiberoptic bronchoscopy or ultrasound for PDT guidance instead of blind procedures. The objective of our study was to compare the safety and efficacy of ultrasound-guided PDT to bronchoscopy-guided PDT in critically ill ventilated patients. Methods: 40 adult patients were prospectively randomized into two groups: Group I (n=20) guided by bronchoscopy and Group II (n=20) guided by ultrasound. Results: Group II had a significantly shorter procedural duration (P < 0.001). No significant differences emerged in intubation reasons, ventilation duration before tracheostomy, or tracheostomy motives. Procedural challenges, complications, and outcomes were comparable between both groups. Moreover pre- and post-procedure P/F ratios, ICU or hospital stay length, and mortality rates showed no notable differences. Conclusions: Ultrasound or bronchoscopy guided PDT in critically ill patients showed comparable results in terms of complications and outcomes. However, a significant difference was noted in procedural duration. [ABSTRACT FROM AUTHOR]
ISSN:11101431
DOI:10.21608/zumj.2025.358688.3834