An observational study in Tracheostomy Complication, sponsored by Melike Cengiz. Completed at 1 site in Turkey. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-19.
Sponsored by Melike Cengiz · Observational
In recent years, percutaneous dilatational tracheostomy has become a frequently performed procedure in intensive care units. However, tracheostomy procedure has risks of complications of varying severity, such as bleeding, subcutaneous emphysema, posterior tracheal wall damage, tracheal stenosis, infection, and fistula in the early and late periods. It is important to determine the anatomical position for tracheal puncture in reducing the risk of complications. It is not always possible to determine the optimal anatomical position for tracheal puncture in patients in the intensive care unit due to reasons such as obesity patient positioning difficulties and tracheal deviation. In this stuy, we have purpose to evaluate the effect of the morphological structure of patients on the dilatational tracheostomy interference location and complications in the percutaneous dilatational tracheostomy procedure (using anatomical landmarks) performed with the forceps dilatation technique, using fiberoptic bronchoscopy and ultrasonography.
A prospective observational study will be conducted in the Akdeniz University Hospital at the department of Anesthesiology and Intensive Care. Tracheostomy incision site will be determined by using anatomical landmark in all patients. Before the procedure, detailed anatomical measurements showing the morphological structure of the patient (neck thickness, thyromental distance, thyroid cartilage measurement, cricoid cartilage measurement, jugulomental distance, distance between clavicle and cricoid cartilage) will be recorded. In addition, measurements will be made and recorded by ultrasonography. In all patients, the percutaneous dilatational tracheostomy procedure will be performed via fiberoptic bronchoscopy and the tracheal puncture level will be confirmed. Tracheostomy related complications will also be recorded.
Melike Cengiz is the lead sponsor of 6 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Patients over the age of 18 who were decided to open percutaneous dilatational tracheostomy for various reasons will be included in the study.
Example:
● Patients undergoing percutaneous dilatational tracheotomy
Inclusion Criteria:
● Clinical indication for tracheostomy
Exclusion Criteria:
Patients assigned to percutaneous dilatational tracheostomy
Procedure: Percutaneous dilatational tracheostomy · Device: Bronchoscopy · Device: ultrasonography · Diagnostic Test: Bronchoscopy application · Diagnostic Test: Ultrasound examination
The percutaneous dilatational tracheostomy procedure will be performed via fiberoptic bronchoscopy
Fiberoptic bronchoscopy
ultrasonography
Fiberoptic bronchoscopy application
Ultrasound examination
The effect of morphological structure on the percutaneous dilatational tracheostomy
The relationship of anatomical position for tracheal puncture and complications with morphological structure of the patient (neck thickness, thyromental distance, thyroid cartilage measurement, cricoid cartilage measurement, jugulomental distance, distance between clavicle and cricoid cartilage)
Time frame: April 30, 2023-October 30, 2023 (6 months)
Plan to share: Undecided
No publications or documents are linked to this record.
This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.
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Melike Cengiz