| 000 | 02584aab a2200253 4500 | ||
|---|---|---|---|
| 008 | 240328b20222022|||qr||| |||| 00| 0 eng d | ||
| 022 | _a0030-9842 | ||
| 100 |
_aHumaira Nazir _9881840 |
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| 100 |
_aSyed Mazhar Ali Naqvi _9881841 |
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| 100 |
_aAnam Ahmad _9881842 |
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| 100 |
_aSaba Zartash _9881843 |
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| 100 |
_aAli Raza Khan _9881844 |
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| 100 |
_aWaqas Aslam _9881845 |
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| 245 | _aUltrasound Versus Bronchoscopy Guided Percutaneous Dilatational Tracheostomy : A Comparative Analysis | ||
| 300 | _a173-178 p. | ||
| 520 | _aObjective : To compare procedure efficacy and postoperative complications of ultrasound-guided vs. bronchoscopy guided percutaneous dilatationaltracheostomy, among obese ICU patients.Study type, settings & duration : Theprospective, randomized & comparative studywas conductedin critical care department of Services Hospital, Lahore from April 2020 to April 2021.Methodology : A total of 52 ICUpatients were assigned into two groups (Group A-25 patients, and Group B-27 patients). Group A patients underwent ultrasound-guided percutaneous dilatational tracheostomy (PDT) and group B under conventional bronchoscopy guidance. In both groups, Ciaglia’s method of PDT was used among both groups. Patients were monitored for procedure time, number of punctures, peri and post-procedural complications : Bleeding, injury to nearby structures, hypoxemia, arrhythmias, difficulty to ventilate, pneumothorax, surgical emphysema, loss of airway, tracheal cartilage fracture and a new lung infiltrate, etc.Results : Intra-procedural complications were noted among four obese patients from both groups, i.e 1/15 (6.6%) in group A, and 3/14 (21.4%) in group B. The operationtime was comparatively less in A as compared to group B. However, hospitalization duration in both the groups remained the same i.e 28 days. No postoperative complications were noted in either group. There were no conversions to surgical tracheostomy and deaths.Conclusion : Ultrasound-guided procedure is superior to bronchoscopy guided PDT among obese ICU patients with a low percentage of intra-and post-operative complications. | ||
| 650 |
_aPercutaneous Dilatational Tracheostomy _9881846 |
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| 650 |
_aUltrasound _9678832 |
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| 650 |
_aBronchoscopy _9368643 |
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| 650 |
_aObesity. _9203629 |
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| 773 | 0 |
_dIslamabad, Pakistan : Pakistan Health Research Council Formrly Pakistan Medical Research Council _x00309842 _tPJMR: Pakistan Journal of Medical Research |
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| 856 | _uhttps : //pjmr.org.pk/index.php/pjmr/article/view/363/129 | ||
| 942 |
_2ddc _n0 _cART _o14993 _pMr. Muhammad Rafique Al Haj Rajab Ali (Late) |
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| 999 |
_c815138 _d815138 |
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