Application of a flexible lightwand in percutaneous dilatational tracheotomy

Zhao, Zhuang; Pan, Shu; Wang, Dunwei; Wang, Chengyu; Li, Zhiwen

doi:10.1016/j.jcrc.2017.07.052

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…The entry depth was determined by measuring the distance between the skin and the internal anterior wall of the trachea. Then the distance to be advanced by the flexible lightwand over an ETT, as described by Zhao et al ., was measured and marked for each patient …”

Section: Methodsmentioning

confidence: 99%

“…Then the distance to be advanced by the flexible lightwand over an ETT, as described by Zhao et al, was measured and marked for each patient. 8 The flexible lightwand used is accepted as a source of red LED cold light that can provide >400 lm brightness, which does not damage the tracheal mucosa. With the external diameter of approximately 9.4 mm of the light source used, and the internal diameter of minimum 7.0 mm of the ETT used (cuffed, 28-Fr), it was considered that the effect of the flexible lightwand on the ventilation resistance of the patient was minimal.…”

Section: Flexible Lightwand + Usg Pdtmentioning

confidence: 99%

“…defined the percutaneous dilatation tracheostomy (PDT) method, but this technique was abandoned after a short time because of serious complications, such as carotid artery and esophagus injuries . The technique was modified in the 1980s, and when later combined with ultrasonography (USG), bronchoscopy and transillumination methods using various illuminating devices, it rapidly became widespread with low complication rates.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the efficacy of surgical tracheostomy and percutaneous dilatational tracheostomy with flexible lightwand and ultrasonography in geriatric intensive care patients

Boran

Bilal

et al. 2020

Geriatrics Gerontology Int

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Aim To compare the applicability, technical difficulties and postoperative complications of surgical tracheostomy and percutaneous dilatational tracheostomy with the flexible lightwand + ultrasonography method applied because of prolonged intubation to geriatric patients in the intensive care unit. Methods A retrospective evaluation was made of 76 patients who received surgical tracheostomy (group 1) and 78 patients who received percutaneous dilatational tracheostomy (group 2). The patients were evaluated in respect of demographic data, duration of intubation, length of stay in the intensive care unit and discharge status, and after the intervention, the development of tube‐related complications, early stage local complications and late‐stage complications. Results The time from intubation to tracheostomy was determined as 22.73 ± 15.23 days in group 1 and 12.65 ± 7.64 days in group 2. The mortality rate of patients in group 1 was determined to be statistically significantly higher than that of group 2 (P = 0.048). When evaluated in respect to early and late complications, nine early‐ and seven late‐stage complications developed in group 1, and three early‐ and three late‐stage complications developed in group 2 (P = 0.05). In the evaluation of factors related to mortality, the time from intubation to tracheostomy (r = 0.249, P = 0.01) and the presence of a comorbidity (r = 0.325, P = 0.004) were determined to have a positive correlation with the development of mortality. Conclusion Percutaneous dilatational tracheostomy with the flexible lightwand + ultrasonography technique is a safe, rapid and effective method with the advantage of management in respect to early complications, such as bleeding, and can be used safely in the geriatric patient population in intensive care conditions. Geriatr Gerontol Int 2020; ••: ••–••.

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Section: Methodsmentioning

confidence: 99%

Section: Flexible Lightwand + Usg Pdtmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the efficacy of surgical tracheostomy and percutaneous dilatational tracheostomy with flexible lightwand and ultrasonography in geriatric intensive care patients

Boran

Bilal

et al. 2020

Geriatrics Gerontology Int

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Application of a flexible lightwand during percutaneous dilatational tracheotomy

Xue

Liu

et al. 2017

Journal of Critical Care

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Application value of minimally invasive percutaneous dilational tracheostomy for ICU critical patients

Gan

Dong

2019

Pak J Med Sci

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Objective: To find out the application value of minimally invasive percutaneous dilational tracheostomy in critically ill patients in intensive care unit (ICU). Methods: One hundred and forty critically ill patients who underwent tracheostomy in ICU of our hospital were included in the study from August 2016 to December 2017. They were divided into an observation group and a control group by random number table method, 70 in each group. The control group received conventional tracheotomy, while the observation group received percutaneous dilational tracheostomy. The operation time, incision length, amount of intraoperative bleeding and healing time of incision were compared between the two groups, and the changes of vital signs and complications after operation were recorded. The family members of the patients signed the informed consent. Results: The operation time, healing time and incision length of the observation group were (9.92±4.13) min, (1.31±0.21) cm and (6.91±0.72) respectively, shorter than (24.09±6.82) min, (3.40±0.65) cm and (67.48±0.61) d in the control group, and the differences were statistically significant (P<0.05). The amount of intraoperative bleeding of the observation group was (7.81±1.83) mL, less than (16.34±2.83) mL in the control group; the difference was statistically significant (P<0.05). The heart rate and oxygen saturation of the observation group before and during the operation were not significantly different (P>0.05). The heart rate of the control group during the operation was significantly higher than that before the operation (P<0.05); the oxygen saturation of the control group before and during the operation had no significant difference (P>0.05). The incidence of complications in the observation group was 24.3%, which was significantly lower than that in the control group (55.7%, X2=8.279, P=0.014). Conclusion: Minimally invasive percutaneous dilational tracheostomy has advantages of small trauma, less infection and beautiful incision, and it will not increase postoperative complications. It is of great value in the treatment of ICU critical patients. doi: https://doi.org/10.12669/pjms.36.2.594 How to cite this:Gan H, Dong A, Xu H. Application value of minimally invasive percutaneous dilational tracheostomy for ICU critical patients. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.594 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Application of a flexible lightwand in percutaneous dilatational tracheotomy

Cited by 4 publications

References 15 publications

Comparison of the efficacy of surgical tracheostomy and percutaneous dilatational tracheostomy with flexible lightwand and ultrasonography in geriatric intensive care patients

Comparison of the efficacy of surgical tracheostomy and percutaneous dilatational tracheostomy with flexible lightwand and ultrasonography in geriatric intensive care patients

Application of a flexible lightwand during percutaneous dilatational tracheotomy

Application value of minimally invasive percutaneous dilational tracheostomy for ICU critical patients

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