Effect of ultrasound-guided localization in critically ill mechanically ventilated patients treated with percutaneous dilational tracheostomy
LIU Xin-long
LIU Dan
XU Feng
XIONG Zhi-hua
FENG Yong-wen
Abstract：Objective To explore the Effect of ultrasound-guided localization in critically ill mechanically ventilated patients treated with percutaneous dilational tracheostomy.Methods A total of 80 patients with mechanical ventilation who underwent tracheotomy in the department of acute and critical care medicine of our hospital from January 2021 to December 2023 were selected.According to the inclusion and exclusion criteria,80 patients were finally included and randomly divided into the ultrasonic positioning group and the conventional group according to the positioning methods.The ultrasonic positioning group used real-time ultrasound guided positioning,and the conventional group used traditional anatomical markers positioning.The deviation degree,the duration of the procedure,the number of successful puncture attempts,the success rate of first needle puncture and the occurrence of complications were compared between the two positioning methods.Results The deviation of puncture point from midline in the ultrasonic positioning group was significantly less than that in the conventional group(P<0.05),and the incidence of deviation from midline in the ultrasonic positioning group was lower than that in the conventional group(P<0.05).The first needle passing rate in the ultrasonic positioning group was significantly higher than that in the conventional group(P<0.05).The duration of the procedure in the ultrasonic positioning group was slightly higher than that in the conventional group,but there was no statistical difference(P>0.05).The incidence of surgical bleeding and total complications in the ultrasonic positioning group were significantly lower than those in the conventional group(P<0.05).Conclusion Compared with traditional anatomical marker positioning,PDT in patients with severe mechanical ventilation guided by ultrasound did not significantly increase the time,and the success rate of first needle puncture was high,the number of successful puncture attempts was less,the puncture point was less deviated from the midline,and the incidence of complications was lower,which was worthy of clinical promotion.
Keywords：Percutaneous dilated tracheostomyUltrasonic guided positioningLocation of anatomical markersSevere me-chanical ventilation
Publication Date：2024-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 286-289 )