Fiberoptic Bronchoscopy Monitoring During Percutaneous Dilatational Tracheostomy: A Multicenter, Randomized, Controlled Trial. The FIBERTRACH Randomized Clinical Trial
Authors' conclusion
In critically ill patients undergoing percutaneous dilatational tracheostomy, the routine use of endoscopic guidance did not demonstrate superiority over procedures performed without endoscopic guidance in terms of complication rates.
Study context
- Population
- Adults undergoing tracheostomy for prolonged mechanical ventilation, no risk factors, 4 medical-surgical ICUs in Spain
- Participants
- 442 adults
- Comparison
- Endoscopic-guided vs Nonendoscopic-guided
- Endoscopic-guidedn = 221
- Nonendoscopic-guidedn = 221reference
- Primary endpoint
- Prevalence of perioperative complications
Methodological detailsmulticentre, unblinded, parallel-group, intention-to-treat analysis, Conducted December 2019 to December 2024
- Multicentre
- Unblinded
- Parallel-group
- Intention-to-treat analysis
- Conducted December 2019 to December 2024
Primary result
As reported in the abstract
95% CI −6.8 to 10.4; P = 0.663
Secondary outcomes
Peak inspiratory pressure during the procedure
(95% CI 7.5–13.2) · P < 0.001
PaCO2 at end of procedure
(95% CI 1.1–4.4) · P = 0.001
Original publication
Fiberoptic Bronchoscopy Monitoring During Percutaneous Dilatational Tracheostomy: A Multicenter, Randomized, Controlled Trial. The FIBERTRACH Randomized Clinical Trial. Crit Care Med. Published 26 February 2026. doi:10.
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