Ultrasound Guided Percutaneous Tracheostomy

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Pierre-Grégoire Guinot, Centre Hospitalier Universitaire, Amiens
ClinicalTrials.gov Identifier:
NCT01502657
First received: April 21, 2011
Last updated: December 30, 2011
Last verified: December 2011

April 21, 2011
December 30, 2011
September 2010
November 2011   (final data collection date for primary outcome measure)
Procedure related complications [ Time Frame: At the end of the procedure, then participants will be followed for the duration of hospital stay, an expected average of 6 weeks ] [ Designated as safety issue: Yes ]
Complications are: paratracheal insertion, injuries to blood vessels in the neck, oesophageal injury, accidental decannulation, malposition of the tracheostomy tube, tracheal cuff puncture, multiple punctures (more than 3), surgical conversion and percutaneous tracheostomy failure, bleeding (compressible, incompressible, requiring administration of labile blood products), pneumothorax, pneumomediastinum, tracheostomy puncture site infection, surgical conversion, subglottic stenosis, fracture of a tracheal cartilage, granuloma.
Same as current
Complete list of historical versions of study NCT01502657 on ClinicalTrials.gov Archive Site
Procedure time [ Time Frame: The time will be calculated at the end of the procedure; an average of 30 minutes ] [ Designated as safety issue: No ]
The total time consisted of a first phase of ulstrasound examination of the cervical region and an implementation phase under ultrasound of percutaneous tracheostomy.
Same as current
Not Provided
Not Provided
 
Ultrasound Guided Percutaneous Tracheostomy
Ultrasound Guided Percutaneous Tracheostomy in the ICU

The purpose of this study is to determine the feasibility and the safety of ultrasound guided percutaneous dilatational tracheostomy.

Percutaneous tracheostomy is commonly performed in critical care units when ventilatory weaning fails or when prolonged mechanical ventilation is required. Numerous complications have been described since the widespread use of Percutaneous Tracheostomy (PCT). Bronchoscopy-guided percutaneous tracheostomy was developed in this context. However, bronchoscopy cannot identify vascular structures and the thyroid gland in the neck, and therefore cannot prevent complications related to organ lesions in the neck. Several studies have demonstrated the value of ultrasound guidance in the neck before performing PCT. No studies have demonstrated the feasibility and the safety of ultrasound guidance for PCT. Ultrasound could improve the understanding of neck anatomy, prevents vascular puncture, and helps guide insertion of the tracheostomy tube.

Interventional
Not Provided
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
  • Tracheostomy Hemorrhage
  • Tracheostomy Complications
  • Other Tracheostomy Complications
Device: Ultrasonography (EnVisor Philips Medical Systems)
Percutaneous tracheostomy is performed using the dilatational method with ultrasonography guidance;
Other Names:
  • Echograph is EnVisor Philips
  • N°453561299512 rev A
  • CE0086
Not Provided
Guinot PG, Zogheib E, Petiot S, Marienne JP, Guerin AM, Monet P, Zaatar R, Dupont H. Ultrasound-guided percutaneous tracheostomy in critically ill obese patients. Crit Care. 2012 Dec 12;16(2):R40. doi: 10.1186/cc11233.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
40
December 2011
November 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • patients hospitalized in ICU in whom percutaneous tracheostomy is indicated,
  • patients aged > 18 years old,

Exclusion Criteria:

  • age less than 18 years,
  • clotting disorder,
  • infection at the puncture site,
  • emergency tracheostomy
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
France
 
NCT01502657
PI10-DR-GUINOT, 2010-A00901-38
No
Pierre-Grégoire Guinot, Centre Hospitalier Universitaire, Amiens
Centre Hospitalier Universitaire, Amiens
Not Provided
Principal Investigator: Pierre grégoire Guinot, MD Centre Hospitalier Universitaire, Amiens
Centre Hospitalier Universitaire, Amiens
December 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP