Advantages of US in Percutaneous Dilatational Tracheostomy: Randomized Controlled Trial and Review of the Literature

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dc.contributor.authorYavuz, Alpaslan
dc.contributor.authorYilmaz, Murat
dc.contributor.authorGoya, Cemil
dc.contributor.authorAlimoglu, Emel
dc.contributor.authorKabaalioglu, Adnan
dc.date.accessioned2024-04-24T17:12:03Z
dc.date.available2024-04-24T17:12:03Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose: To compare procedure times and complication rates of preincisional ultrasonographic (US) evaluation and perioperative US guidance in percutaneous dilatational tracheostomy (PDT) with those of the current standard of care, PDT performed without image guidance. Materials and Methods: Between December 2007 and January 2011, 341 patients were included in this institutional review board-approved study after informed consent was obtained from the patients or their relatives. The patients were divided randomly into two groups. In group A (n = 166), the possible causes of complications, such as aberrations of tracheal, thyroidal, and vascular structures, were determined with US, and tracheal measurements were performed by using US. The clinician's initial considerations at physical examination were compared with the US findings. PDT was subsequently performed with US guidance in suitable cases. In group B (n = 175), PDT was performed solely on the basis of physical landmarks. The procedure times and complication rates were compared across groups by using the Fisher exact test. Results: In group A, the puncture sites designated at the physical examination were reconsidered in 39 (23.8%) of 164 cases. The perioperative complication rates were slightly lower in group A (7.8% [12 of 154]) than in group B (15.0% [25 of 167]); however, the difference did not achieve statistical significance (P = .054). The mean procedure times for groups A and B were 24.09 minutes +/- 8.05 (standard deviation) (range, 14-68 minutes) and 18.62 minutes +/- 6.34 (range, 12-81 minutes), respectively (P = .001), and the numbers of patients in each group who required multiple puncture attempts were six (3.9%) of 154 and 23 (13.6%) of 169 (P = .003), respectively. Conclusion: The use of US guidance before and during PDT could render the procedure easier and safer, with fewer complications but a slightly longer procedure time. (C) RSNA, 2014en_US
dc.identifier.doi10.1148/radiol.14140088
dc.identifier.endpage936en_US
dc.identifier.issn0033-8419
dc.identifier.issue3en_US
dc.identifier.pmid25102297
dc.identifier.scopus2-s2.0-84916629440
dc.identifier.scopusqualityQ1
dc.identifier.startpage927en_US
dc.identifier.urihttps://doi.org/10.1148/radiol.14140088
dc.identifier.urihttps://hdl.handle.net/11468/17837
dc.identifier.volume273en_US
dc.identifier.wosWOS:000345515100031
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherRadiological Soc North Americaen_US
dc.relation.ispartofRadiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleAdvantages of US in Percutaneous Dilatational Tracheostomy: Randomized Controlled Trial and Review of the Literatureen_US
dc.titleAdvantages of US in Percutaneous Dilatational Tracheostomy: Randomized Controlled Trial and Review of the Literature
dc.typeArticleen_US

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