Document Detail


PERCUTANEOUS DILATATIONAL TRACHEOSTOMY WITH A DOUBLE LUMEN ENDOTRACHEALTUBE: A COMPARISON OF FEASIBILITY, GAS-EXCHANGE AND AIRWAY PRESSURES.
MedLine Citation:
PMID:  25375865     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Purpose: Gas-exchange and airway pressures are markedly altered during percutaneous dilatational tracheostomy (PDT). A double lumen endotracheal tube (DLET) has been developed for better airway management during PDT. The current study was designed to prospectively evaluate the in-vivo feasibility, gas-exchange and airway pressures during PDT with DLET compared to a conventional endotracheal tube (ETT).
Methods: According to eligibility criteria, patients were divided into case groups, those receiving PDT with DLET, and a control group, receiving PDT with a conventional ETT. The Ciaglia single-dilator technique was used for the PDT in both groups. The primary end point of this study was the feasibility of tracheostomy with DLET. The secondary end points were a comparison of gas-exchange, airway pressures, minute volume and tidal volume before, during and after PDT performed with DLET and conventional ETT.
Results: Ten patients meeting our inclusion criteria were assigned to each group. PDTs were performed without difficulties in 9/10 patients in the DLET group and 10/10 patients in the conventional ETT group. During PDT, gas exchange, airway pressures and minute ventilation remained more stable in the DLET group and were significantly different from those in the conventional ETT group.
Conclusions: PDT with DLET can be performed safely without difficulties limiting the technique. Furthermore, during PDT the use of the DLET resulted in more stable gas-exchange, airway pressures and ventilation than PDT with a conventional ETT.
Clinical Trial Registration: NCT 01691222.
Authors:
Maria Vargas; Paolo Pelosi; Gaetano Tessitore; Fulvio Aloj; Iole Brunetti; Enrico Arditi; Dorino Salami; Robert M Kacmarek; Giuseppe Servillo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-11-6
Journal Detail:
Title:  Chest     Volume:  -     ISSN:  1931-3543     ISO Abbreviation:  Chest     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-6     Completed Date:  -     Revised Date:  2014-11-7    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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