An interventional study of Bedside ultrasound-guided real-time biliary drainage and traditional appointment ultrasound in Biliary Tract Infection, sponsored by Hebei Medical University. Completed at 1 site in China. Open to participants aged Up to 75 Years. Per ClinicalTrials.gov, last updated 2025-05-07.
Sponsored by Hebei Medical University · Not applicable, Interventional, and Treatment
Acute biliary tract infection is a kind of disease caused by bacteria of biliary tract infection, mainly including acute cholecystitis and acute cholangitis, especially acute obstructive suppurative cholangitis (AOSC),which can lead to septic shock and multiple organ failure,and the mortality rate is high in the frail and high risk elderly patients. Our study involved bedside ultrasoundguided real-time biliary drainage by emergency surgeon in the frail and high risk elderly patients with severe acute suppurative infection of biliary tract,the goal of this clinical trial is to learn if it can improve patient prognosis and reduce mortality.
Participants will be divided into experimental group (emergency bedside ultrasound group) and controlgroup (traditional ultrasound group). The experimental group will be performed gallbladder or bile duct puncture under the guidance of emergency bedside ultrasound, while the control group will be performed puncture by traditional appointment ultrasound, The accuracy of ultrasound diagnosis, the total time of examination and puncture treatment,complications, hospitalization time and expenses will be compared between the two groups.
After admission, vital signs will be collected by nurses and scored according to the Canadian health and aging clinical frailty scale 3 . Emergency surgeons will evaluate patients' airway, respiratory and circulatory status and intervene according to their condition. For patients with stable vital signs, CT will be performed first. Patients with untable vital signs and hemodynamics, bedside ultrasound will be performed by an emergency surgeon while aggressive rescue measures and further CT scans will be performed if the patient's condition permitted.The patients in the experimental group will be diagnosed by emergency surgeon using Philips CX50 portable ultrasound and treated by ultrasound-guided puncture and drainage at the first time, these included ultrasound-guided percutaneous transhepatic gallbladder drainage (PTGD) and percutaneous transhepatic choledochal drainage (PTCD) .In the control group, the patients will be scheduled for puncture and drainage treatment in the traditional ultrasound department at the same time of stabilizing vital signs.Then the two groups of patients will be followed up, through CT results to understand the accuracy of emergency bedside ultrasound.
Exclusion Criteria:
The experimental group will be performed gallbladder or bile duct puncture under the guidance of emergency bedside ultrasound.
Procedure: Bedside ultrasound-guided real-time biliary drainage
The control group will be performed puncture by traditional appointment ultrasound.
Procedure: traditional appointment ultrasound
Bedside ultrasound-guided real-time biliary drainage by emergency surgeon in the frail and high risk elderly patients with severe acute suppurative infection of biliary tract
Traditional appointment ultrasound
Puncture time
Total time between admission and completion of ultrasound puncture
Time frame: From admission time to completion of puncture time, assessed up to 3 hours
Hospitalization time
hospitalization time
Time frame: From hospitalization to discharge, about 30days
Hospitalization cost
Hospitalization expenses
Time frame: From admission to the end of treatment, about 30 days
Plan to share: No
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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.
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Hebei Medical University