{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:50:57Z","timestamp":1768524657792,"version":"3.49.0"},"reference-count":0,"publisher":"Annali Italiani di Chirurgia","issue":"1","license":[{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann. Ital. Chir."],"abstract":"<jats:p>AIM: This study aimed to compare the efficacy and safety of ultrasound-guided percutaneous balloon dilatational tracheotomy (US-PDT) versus surgical tracheotomy (ST) in patients with acute respiratory failure (ARF). METHODS: In this retrospective cohort study, 278 patients with ARF were enrolled from January 2022 to January 2025. These patients were divided into the US-PDT group (n = 135) and the ST group (n = 143) based on the surgical method used. Perioperative indicators, procedural success rates, inflammatory markers, hospitalization outcomes, and complications were systematically compared between the two groups. RESULTS: The US-PDT group demonstrated superior outcomes across all measures. It was associated with a significantly shorter procedure time, smaller incision length, reduced intraoperative blood loss, and shorter duration of mechanical ventilation (all p &lt; 0.001). The US-PDT group also showed a higher single-attempt procedural success rate, alongside a lower accidental extubation rate (all p &lt; 0.001). Postoperative inflammatory markers (erythrocyte sedimentation rate [ESR], C-reactive protein [CRP], and procalcitonin [PCT]) were significantly lower in the US-PDT group (p &lt; 0.001). Furthermore, the US-PDT group experienced reduced ventilator-associated pneumonia (VAP) incidence, higher weaning success, shorter intensive care unit (ICU) and hospital stays, and lower ICU and overall mortality (all p &lt; 0.05). Complication rates were also significantly lower in the US-PDT group (p &lt; 0.05). CONCLUSIONS: US-PDT is a more efficient, safer, and less invasive alternative to ST for ARF patients, resulting in better clinical outcomes, reduced inflammation, fewer complications, and improved survival rates.<\/jats:p>","DOI":"10.62713\/aic.4374","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T10:05:19Z","timestamp":1767953119000},"source":"Crossref","is-referenced-by-count":0,"title":["Comparison of the Efficacy and Safety of Ultrasound-Guided Percutaneous Balloon Dilatational Tracheotomy and Surgical Tracheotomy in Patients With Acute Respiratory Failure"],"prefix":"10.62713","volume":"97","author":[{"given":"Xiaofang","family":"Han","sequence":"first","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Xingtai Medical College, 054000 Xingtai, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiali","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Xingtai Medical College, 054000 Xingtai, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianfei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Second Affiliated Hospital of Xingtai Medical College, 054000 Xingtai, Hebei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuchang","family":"Huang","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, Yangzhong Traditional Chinese Medicine Hospital, 212200 Zhenjiang, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"48935","published-online":{"date-parts":[[2026,1,10]]},"container-title":["Annali Italiani di Chirurgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/97\/1\/10.62713\/aic.4374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T09:05:40Z","timestamp":1768467940000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/97\/1\/10.62713\/aic.4374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,10]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"alternative-id":["S0003-469X(26)00007-0"],"URL":"https:\/\/doi.org\/10.62713\/aic.4374","relation":{},"ISSN":["0003-469X","2239-253X"],"issn-type":[{"value":"0003-469X","type":"print"},{"value":"2239-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,10]]},"article-number":"84"}}