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Caspian Journal of Internal Medicine، جلد ۱۲، شماره ۳، صفحات ۲۴۹-۲۵۵
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Semi-surgical percutaneous dilatational tracheostomy vs. conventional percutaneous dilatational tracheostomy: A prospective randomized trial |
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| چکیده انگلیسی مقاله |
Background: Percutaneous dilatational tracheostomy (PDT) is a common surgical procedure in the ICU. The present study was conducted to compare semi-surgical percutaneous dilatational tracheostomy (SSPDT) with conventional percutaneous dilatational tracheostomy (CPDT). Methods: The present randomized clinical trial was conducted on 160 patients hospitalized in the medical intensive care units (ICUs) with an indication for tracheostomy and were systematically divided into two equal groups of 80. In the CPDT group, after a small incision, a 16-gauge needle was blindly inserted into the trachea and the guidewire was placed inside the lumen. A stoma was created by passing a single dilator over the guidewire. In the SSPDT group, a transverse incision (2 cm) was made 1 cm below the cricoid, and the tracheal ring was then fully reached by releasing the subcutaneous tissues using the index figure, and PDT was then performed. The two groups were compared in terms of their tracheostomy complications (including bleeding, pneumothorax, stoma infection and accidental decannulation) and duration of the procedure. Results: The two groups were homogeneous in terms of age, gender, mean APACHE score (P>0.05). There were no significant differences between the two groups in terms of the mean time from tracheal intubation to tracheostomy (P=0.869). The duration of the procedure was 5.16±1.72 minutes in the SSPDT group and 6.42±1.71 in the CPDT group (P< 0.001). The complication rate was 7(8.75%) in the SSPDT group and 16(20%) in the CPDT group (P=0.043). Conclusion: SSPDT is safer and has fewer complications than CPDT in ICU patients. |
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| کلیدواژه‌های انگلیسی مقاله |
Intensive Care Unit, Percutaneous Dilatational Tracheostomy, Complications |
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| نویسندگان مقاله |
| Novin Nikbakhsh
Department of Surgery, Babol University of Medical Sciences, Babol, Iran
| Fatemeh Amri
Student Research Committee, Babol University of Medical Sciences, Babol, Iran
| Mahmood Monadi
Department of Internal Medicine, Babol University of Medical Sciences, Babol, Iran
| Parviz Amri
Clinical Research Development Unit of Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran
| Ali Bijani
Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran
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| نشانی اینترنتی |
http://caspjim.com/browse.php?a_code=A-10-756-3&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
Anesthesiology |
| نوع مقاله منتشر شده |
Original Article |
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