Evaluation of the effect of morphological structure on dilatational tracheostomy interference location and complications with ultrasonography and fiberoptic bronchoscopy

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dc.authorscopusidAli Sait Kavaklı / 57192362478
dc.authorwosidAli Sait Kavaklı / L-5699-2016
dc.contributor.authorBulut, Esin
dc.contributor.authorYıldız, Ülkü Arslan
dc.contributor.authorCengiz, Melike
dc.contributor.authorYılmaz, Murat
dc.contributor.authorKavaklı, Ali Sait
dc.contributor.authorArıcı, Ayşe Gülbin
dc.contributor.authorÖztürk, Nihal
dc.date.accessioned2025-04-18T10:35:38Z
dc.date.available2025-04-18T10:35:38Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground: Percutaneous dilatational tracheostomy (PDT) is the most commonly performed minimally invasive intensive care unit procedure worldwide. Methods: This study evaluated the percentage of consistency between the entry site observed with fiberoptic bronchoscopy (FOB) and the prediction for the PDT level based on pre-procedural ultrasonography (USG) in PDT procedures performed using the forceps dilatation method. The effect of morphological features on intervention sites was also investigated. Complications that occurred during and after the procedure, as well as the duration, site, and quantity of the procedures, were recorded. Results: Data obtained from a total of 91 patients were analyzed. In 57 patients (62.6%), the USG-estimated tracheal puncture level was consistent with the intercartilaginous space observed by FOB, while in 34 patients (37.4%), there was a discrepancy between these two methods. According to Bland Altman, the agreement between the tracheal spaces determined by USG and FOB was close. Regression formulas for PDT procedures defining the intercartilaginous puncture level based on morphologic measurements of the patients were created. The most common complication related to PDT was cartilage fracture (17.6%), which was proven to be predicted with maximum relevance by punctured tracheal level, neck extension limitation, and procedure duration. Conclusions: In PDT procedures using the forceps dilatation method, the prediction of the PDT intervention level based on pre-procedural USG was considerably in accordance with the entry site observed by FOB. The intercartilaginous puncture level could be estimated based on morphological measurements.
dc.identifier.citationBulut, E., Arslan Yildiz, U., Cengiz, M., Yilmaz, M., Kavakli, A. S., Arici, A. G., ... & Uslu, S. (2024). Evaluation of the Effect of Morphological Structure on Dilatational Tracheostomy Interference Location and Complications with Ultrasonography and Fiberoptic Bronchoscopy. Journal of Clinical Medicine, 13(10), 2788.
dc.identifier.doi10.3390/jcm13102788
dc.identifier.endpage20
dc.identifier.issn2077-0383
dc.identifier.issue10
dc.identifier.pmid38792330
dc.identifier.scopus2-s2.0-85194289345
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttp://dx.doi.org/10.3390/jcm13102788
dc.identifier.urihttps://hdl.handle.net/20.500.12713/7133
dc.identifier.volume13
dc.identifier.wosWOS:001232748500001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKavaklı, Ali Sait
dc.institutionauthoridAli Sait Kavaklı / 0000-0001-5263-7183
dc.language.isoen
dc.publisherMDPI
dc.relation.ispartofJournal of clinical medicine
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFiberoptic Bronchoscopy
dc.subjectComplications
dc.subjectMorphology
dc.subjectPercutaneous Dilatational Tracheostomy
dc.subjectUltrasonography
dc.titleEvaluation of the effect of morphological structure on dilatational tracheostomy interference location and complications with ultrasonography and fiberoptic bronchoscopy
dc.typeArticle

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