NCT05845775

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
104

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Apr 2023

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 15, 2023

Completed
15 days until next milestone

Study Start

First participant enrolled

April 30, 2023

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 6, 2023

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 2, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 2, 2024

Completed
Last Updated

March 19, 2024

Status Verified

March 1, 2024

Enrollment Period

9 months

First QC Date

April 15, 2023

Last Update Submit

March 17, 2024

Conditions

Keywords

ComplicationsIntensive care unitTracheostomy

Outcome Measures

Primary Outcomes (1)

  • 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)

    April 30, 2023-October 30, 2023 (6 months)

Study Arms (1)

percutaneous dilatational tracheostomy

Patients assigned to percutaneous dilatational tracheostomy

Procedure: Percutaneous dilatational tracheostomyDevice: BronchoscopyDevice: ultrasonographyDiagnostic Test: Bronchoscopy applicationDiagnostic Test: Ultrasound examination

Interventions

The percutaneous dilatational tracheostomy procedure will be performed via fiberoptic bronchoscopy

percutaneous dilatational tracheostomy

Fiberoptic bronchoscopy

percutaneous dilatational tracheostomy

ultrasonography

percutaneous dilatational tracheostomy

Fiberoptic bronchoscopy application

percutaneous dilatational tracheostomy
Ultrasound examinationDIAGNOSTIC_TEST

Ultrasound examination

percutaneous dilatational tracheostomy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients over the age of 18 who were decided to open percutaneous dilatational tracheostomy for various reasons will be included in the study.

You may qualify if:

  • ● Clinical indication for tracheostomy

You may not qualify if:

  • Age \<18
  • Patients with severe coagulopathy
  • Unsuitable anatomy (e.g., previous cervical surgery, cervical trauma, or tumors)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Akdeniz University School of Medicine, Department of Anesthesiology and Intensive Care, Turkey

Antalya, Turkey (Türkiye)

Location

MeSH Terms

Interventions

BronchoscopyUltrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Techniques, Respiratory SystemDiagnostic Techniques and ProceduresDiagnosisEndoscopyDiagnostic Techniques, SurgicalMinimally Invasive Surgical ProceduresSurgical Procedures, OperativePulmonary Surgical ProceduresThoracic Surgical ProceduresDiagnostic Imaging

Study Officials

  • Esin Bulut, MD

    Akdeniz University School of Medicine, Department of Anesthesiology and Intensive Care, Turkey

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
MD, Clinical Professor

Study Record Dates

First Submitted

April 15, 2023

First Posted

May 6, 2023

Study Start

April 30, 2023

Primary Completion

February 2, 2024

Study Completion

February 2, 2024

Last Updated

March 19, 2024

Record last verified: 2024-03

Locations