Ultrasound Guided Percutaneous Tracheostomy

Study Overview
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Brief Summary
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Use of the ultrasound before, during and after percutaneous tracheostomy allows us great advantages; anatomy of the pre and paratracheal region and displaying potential aberrant vessels, and so the needle and dilator to move away from risk areas and ensure the prevention of possible vascular complications. Measuring the distance from the skin into the trachea can be done and this allows us to choose the average size tracheostomy tube. The aim of this study, In the process of applying percutaneous tracheostomy, to compare the reliability of the traditional landmark method, ultrasound-guided long axis in plane application and ultrasound-guided short axis out of plane application.

Official Title
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Comparison of 3 Techniques for Percutaneous Tracheostomy : Traditional Marking Technique, Ultrasonography Guided Long Axis Approach and Short Axis Approach

Conditions
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Reliability of the Ultrasound in Percutaneous Tracheostomy

Intervention / Treatment
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* Procedure: ultrasound-guided percutaneous tracheostomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hospitalized patients in intensive care the decision to open percutaneous tracheostomy over 18 years Exclusion Criteria: under 18 years Patients with high or unstable intracranial pressure Patients with severe coagulation disorders Patients attached collar hemodynamically unstable patients, despite the use of high doses of vasoactive drugs patients with infections in tracheostomy area

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: landmark group<br>percutaneous tracheostomy with traditional landmark technique | |
| Active Comparator: ultrasound-guided long axis group<br>percutaneous tracheostomy will be implemented In the real-time ultrasound-guided in plane technique | Procedure: ultrasound-guided percutaneous tracheostomy<br>* to compare the reliability of the traditional landmark method, ultrasound-guided long axis in plane applications and ultrasound-guided short-axis out of plane application in the implementation process percutaneous tracheostomy<br>|
| Active Comparator: ultrasound-guided short axis group<br>percutaneous tracheostomy will be implemented In the real-time ultrasound-guided out of plane technique | Procedure: ultrasound-guided percutaneous tracheostomy<br>* to compare the reliability of the traditional landmark method, ultrasound-guided long axis in plane applications and ultrasound-guided short-axis out of plane application in the implementation process percutaneous tracheostomy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The success of the first application |  | ten minute | 
| successful tube placement rate |  | fifteen minüte | 
| Complications during the procedure |  | one month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The number of puncture |  | ten minute | 
| total tracheostomy application time |  | fifteen minute | 
| Early and late complications after the process |  | one month |