The Ultrasound-guided vs Bronchoscopy-guided vs Ultrasound-bronchoscopy-guided Percutaneous Tracheostomy Trial

Launched by IULIU HATIEGANU UNIVERSITY OF MEDICINE AND PHARMACY · Jan 17, 2024

Keywords

ClinConnect Summary

The BRONCUS trial is studying different methods for performing a procedure called percutaneous tracheostomy, which is used to help patients breathe when they are on a ventilator. The trial compares three techniques: using ultrasound, using a bronchoscope (a thin tube with a camera), and a combination of both. The goal is to see which method is safer and whether a standard approach is better than a customized one based on individual patient needs.

To participate in this trial, you need to be an adult over 18 years old who is currently intubated and on mechanical ventilation with a need for a tracheostomy. However, there are some conditions that could prevent you from joining, such as having a short neck, issues with your trachea, a history of neck surgery, or if your doctor believes surgery would be a better option for you. If you decide to take part, you can expect to receive care from a team of professionals who will monitor your safety throughout the process. This trial is currently recruiting participants, and both men and women are welcome to apply.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • adult patients (over 18 years old), intubated, mechanically ventilated, and with an indication for a tracheostomy
• Exclusion Criteria:
• Patients with contraindications for PDT:
• • short neck
• • tracheal deviation
• • difficult anatomy
• • previous neck surgery
• • cervical trauma or inability to perform neck extension
• • preference for surgical tracheostomy by the patient assistant team
• • patients unable to provide informed consent