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Platelet-inhibiting drugs are often used after vascular interventions. Patients who require such therapies are often critically ill, are treated in intensive care units and often require long-term ventilation. For long-term ventilation a tracheotomy is necessary, which is usually performed as a percutaneous dilatative tracheotomy (PDT). As part of this intervention, there is (theoretically) an increased risk of bleeding/an increased rate of complications in patients with a antiplatelet therapy. In addition, there are various techniques for performing a PDT.
The current study aims to investigate the frequency of bleeding/complications taking into account the technique used in PDT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tracheotomy without antiplatelet therapy+technique 1 |
| ||
| Tracheotomy under antiplatelet therapy+technique 1 |
| ||
| Tracheotomy without antiplatelet therapy+technique 2 |
| ||
| Tracheotomy under antiplatelet therapy+technique 2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tracheotomy | Device | Tracheotomy in patients +/- antiplatelet therapy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measurement of bleeding during Percutaneous Dilational Tracheostomy (PDT) with and without antiplatelet therapy (AP). |
| 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| - Does the technique of PDT affect the bleeding rate? - How often are recognizable cartilage pin fractures in the context of a PDT? - Influence of AP and PDT technology on the frequency of need for a blood transfusion? | cartilage pin fractures seen in endoscopy | 14 days |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent Percutaneous Dilational Tracheostomy within the last 5 years.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dirk Bandorski, MD | Contact | +496043804212 | d.bandorski@asklepios.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Neurologische Klinik Bad Salzhausen | Recruiting | Nidda | 63667 | Germany |
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| ID | Term |
|---|---|
| D014140 | Tracheotomy |
| ID | Term |
|---|---|
| D013517 | Otorhinolaryngologic Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019616 | Thoracic Surgical Procedures |
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