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《Chinese Journal of Critical Care Medicine》 2019-09
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Impact of ultrasound guidance on complications of percutaneous dilatational tracheostomy

Wu Qiao-yun;Ding Wei-qiang;Wang Yun-hui;Liu Li-xia;Hu zhen-jie;The General Hospital of Fengfeng Croup;the Fourth Hospital of Hebei Medical University;  
Objective To explore the impact of ultrasound guidance on complications of percutaneous dilatational tracheostomy,and expect to reduce complications of percutaneous dilatational tracheostomy.Methods Between January 2015 and December 2016,114 consecutive patients who were performed percutaneous dilatational tracheostomy by ultrasound guidance were included in the ultrasound guidance group(US-PDT),122 consecutive patients who were performed standard percutaneous dilatational tracheostomy(S-PDT).Data recorded were age,gender,body mass index,diagnosis,acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) score and sequential organ failure assessement(SOFA).Results There were twelve complications in the S-PDT group:hyoxemia(n=1),bleeding need for intervention(n=5),pneumoderm(n=1),esophagotracheal fistula(n=1),false passage(n=1),the guide wire coming out of the mouth(n=2),tracheal tube angulation(n=1).There were two complications in the US-PDT group:hyoxemia(n=1),bleeding need for intervention(n=1).The total complications in the US-PDT group were significantly lower than those in the S-PDT group(2/114 vs.12/122,P=0.009).Conclusion The use of ultrasound guidance during percutaneous dilatational tracheostomy can reduce complications during the procedure.
【Fund】: 河北省衛生計生委科學研究課題計劃項目(20171516)
【CateGory Index】: R459.7
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 Wu Qiao-yun;Ding Wei-qiang;Li tao;Yang Hong-ying;Zhang Wen-jun;Wang Yun-hui;Liu Li-xia;Critical Care Medicine,the General Hospital of Fengfeng Group;;Clinical controlled study of location by traditional landmark versus ultrasound guided tracheal puncture during percutaneous dilatational tracheostomy[J];中國急救醫學;2018-09
【Co-citations】
Chinese Journal Full-text Database 1 Hits
1 Wu Qiao-yun;Ding Wei-qiang;Wang Yun-hui;Liu Li-xia;Hu zhen-jie;The General Hospital of Fengfeng Croup;the Fourth Hospital of Hebei Medical University;;Impact of ultrasound guidance on complications of percutaneous dilatational tracheostomy[J];中國急救醫學;2019-09
【Secondary Citations】
Chinese Journal Full-text Database 2 Hits
1 He Xuwei;Qiu Qianwen;Xu Junlong;Zhao Guanan;Lou Tianzheng;College of Medicine Zhejiang University;Department of Emergency Medicine,Lishui People's Hospital;ICU,Lishui People's Hospital;;Comparison between ultrasound-and bronchoscopy-guided percutaneous dilational tracheostomy:a retrospective cohort study[J];中華急診醫學雜志;2016-07
2 Gao Yang;Liu Yang;Tang Rong;Liu Haitao;Zhang Xing;Yu Kaijiang;Department of Critical Care Medicine,the Second Affiliated Hospital of Harbin Medical University;;Clinical application of modified percutaneous dilative tracheostomy in intensive care unit[J];中華危重病急救醫學;2014-02
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