Comparison Between Ultrasound- and Bronchoscopy-guided Percutaneous Dilational Tracheostomy in Critically Ill Patients

Abstract

To compare the clinical efficacy, safety, and prognosis between fiberoptic bronchoscopy-assisted percutaneous dilatation tracheostomy and real-time ultrasound-guided percutaneous dilatation tracheostomy, and evaluate their clinical application value for further clinical use. From January, 1, 2018, to November 1, 2019, 64 newly admitted patients in our hospital undergoing percutaneous dilatation tracheostomy were included in the study. They were divided into two groups, the random fiber bronchoscopy-assisted percutaneous dilatation tracheostomy group (control group) and the modified bedside ultrasound-guided percutaneous dilatation tracheostomy group (study group), according to the random number table method, with 32 patients in each group. Subsequently, the intraoperative and postoperative complications and clinical prognostic indicators of the two groups were compared. There were statistically significant differences between the two groups in the number of punctures, puncture time, and incidence of air sac leakage (P 0.05). Real-time ultrasound-guided percutaneous dilatation tracheostomy can reduce the number of punctures in the air sac with no further complications and clinical prognosis.