Comparison of the effects of different percutaneous tracheotomy techniques on acute tracheal trauma

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dc.authoridPAMPAL, HASAN KUTLUK/0000-0003-4664-391X;
dc.contributor.authorDemirel, Cengiz Bekir
dc.contributor.authorHaltas, Hacer
dc.contributor.authorPampal, Hasan Kutluk
dc.contributor.authorUnal, Yusuf
dc.contributor.authorIsik, Berrin
dc.contributor.authorUysal, Mukerrem
dc.date.accessioned2025-10-24T18:09:50Z
dc.date.available2025-10-24T18:09:50Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractAim: As it can easily be performed at the bedside with minimal morbidity, percutaneous dilatational tracheotomy (PDT) is preferred over surgical tracheotomy. The aim of this study is to compare the effects of different PDT techniques on posterior tracheal wall injury. Materials and methods: The study was conducted at the Gazi University Laparoscopy Training Center after approval was granted by the ethics committee. After sedation with xylazine/ketamine, electrocardiography, peripheral oxygen saturation, and blood pressure were monitored. Propofol was used to achieve the desired level of sedation during the procedure. There were 16 pigs, randomly allocated into 4 groups. Multiple, single, forceps, and twist dilator techniques were performed in groups I, II, III, and IV, respectively. At the end of the course all pigs were sacrificed and tracheas were harvested for macroscopic and histopathological evaluation. Results: Macroscopic evaluation revealed erythematous/hemorrhagic and ulcerative lesions on the posterior wall of all samples. Histopathological injury was observed in all samples and was similar in all groups. Procedural time was significantly longer in group I than in all other groups (P < 0.05). Conclusion: Although the results are conflicting, bronchoscopy-aided PDT is believed to reduce complications. In our study, PDTs were performed without bronchoscopy, and posterior wall injury was observed in all samples. Therefore, we suggest using bronchoscopy to reduce procedure-related complications and improve patient safety during PDT.
dc.identifier.doi10.3906/sag-1212-62
dc.identifier.endpage72
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue1
dc.identifier.pmid25558561
dc.identifier.scopus2-s2.0-84888420664
dc.identifier.scopusqualityQ1
dc.identifier.startpage68
dc.identifier.trdizinid213020
dc.identifier.urihttps://doi.org/10.3906/sag-1212-62
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/213020
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3855
dc.identifier.volume44
dc.identifier.wosWOS:000327592600011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTubitak Scientific & Technological Research Council Turkey
dc.relation.ispartofTurkish Journal Of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20251023
dc.subjectPercutaneous dilatational tracheotomy; tracheal injury; swine model
dc.titleComparison of the effects of different percutaneous tracheotomy techniques on acute tracheal trauma
dc.typeArticle

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