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Fig 1.

Inclusion process for the identified studies.

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Table 1.

Characteristics of included studies comparing ultrasound-guided with landmark percutaneous dilatational tracheostomy.

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Table 2.

Jadad score assessment of RCTs and Newcastle-Ottawa Quality Assessment Scale of NRS.

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Table 3.

Summary of the intervention details in the included studies.

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Fig 2.

Risks of bias summary.

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Fig 3.

Forest plot comparing real-time UGT with LT for first-pass success (a) and complications (b).

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Fig 4.

Forest plot comparing real-time UGT with LT for major bleeding (a) and total tracheostomy procedure time (b).

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Fig 5.

Funnel plots of first-pass success (a), complications (b), and major bleeding (c).

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