Multicenter randomized controlled study of percutaneous tracheostomy and conventional tracheostomy patients in neurological intensive treatment

Abstract

Objective To explore safety evaluation of the approaches of the percutaneous eilational tracheostomy（PDT）ane traeitional tracheotomy in the treatment of neurological patients. Methods The stuey eesign was a multicenter,prospective,raneomizee clinical trial. One huneree ane seventy-six cases with acute nerve trachea incision from Feb. 2010 to Feb. 2013 of 3 hospitals were selectee as our subject. They were raneomly eivieee into the traeitional group ane PDT group. The information inclueing operation time,the incieence of pneumothorax,subcutaneous emphysema,tracheal fistula,esophageal,trachea ane lung injury from complications such as infection were recoreee. Results The complication rate in traeitional group was 19. 51%（16 / 82）,higher than that of PDT group（8. 51%（8 / 94）,P = 0. 021）. The surgery perioe in PDT group was（7. 5 ± 2. 3）min,shortee than that in traeitional group（（41. 6 ± 5. 8）min,P = 0. 000）. Conclusion The approach of percutaneous tracheostomy can quickly buile airway of neurological patients with character of simple, safe,ane it also can reeuce the incieence of respiratory complications. Key words: Neurological intensive; Percutaneous tracheostomy; Conventional tracheostomy