Video-guided Percutaneous Tracheostomy (PCT) Versus Conventional PCT: Comparing Safety and Efficacy (NCT01012518) | Clinical Trial Compass
UnknownNot Applicable
Video-guided Percutaneous Tracheostomy (PCT) Versus Conventional PCT: Comparing Safety and Efficacy
Israel60 participantsStarted 2010-01
Plain-language summary
The purpose of this study is to compare the feasibility, safety, efficacy and ease of performance of a video-assisted PCT (via an endotracheal tube embedded with a mini video-camera) with the standard ("blind") PCT technique.
Who can participate
Age range18 Years – 90 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* The investigators will enroll for this study
* patients aged \>18 years old, admitted to the ICU,
* who require elective PCT for prolonged mechanical ventilation, airway protection or weaning failure.
Exclusion Criteria:
* Patients indicated for surgical tracheostomy, due to altered or difficult local anatomy;
* necessity of emergency airway access due to acute airway compromise;
* evidence of infection in the soft tissues of the neck;
* coagulation abnormalities (INR\>1.5, PTT\>40, thrombocyte count \< 50,000);
* gross distortion of the neck anatomy (due to hematoma/tumor/thyromegaly/scarring from previous neck surgery/ unstable C-spine);
* contra-indication for re-intubation/suspected loss of airway during re-intubation; hemodynamic instability.