RESULTS OF EARLY TRACHEOSTOMY AND LATE TRACHEOSTOMY IN CRITICAL ILL PATIENTS IN ICU: AN ORIGINAL RESEARCH
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 3342-3348
AbstractIntroduction- Ideal timing for tracheostomy in intensive care units (ICUs) is stil a controversial issue forcritically ill patients undergoing prolonged mechanical ventilation (MV).
Objectives- The objective of the present study is to determine proper timing of the tracheostomy and its impact onmultiple clinical outcomes of the adult patients in ICUs undergoing prolonged MV.
Methods and Materials- The present study consisted of a sample of 65 ICU adult patients who weresubmitted to open surgical tracheostomy and divided into two groups: 30 patients inthe early tracheostomy (ET) group (within 1–10 days post intubation), and 35 patients
in the late tracheostomy (LT) group (within 11–21 days post intubation). The data was compiled; the timing of tracheostomy of each group and various associated ICUclinical parameters were analysed and corelated.
Results- The sample consisted of 40 males and 25 female patients, with a meanage of 47.2 years. The mean MV duration in days was 6.91 in the ET group, and 16.32 in the LT group, with amean sedation time of 7.13 in the ET group, and of 12.88 in the LTgroup. The weaning failure rate of 29% in the ET group and 70.42% in the LTgroup. The Mean ICU stay was 26.2 in the ET group, and26.4 in the LT group, and the incidence of ventilator-associated pneumonia (VAP) of 24.2% in the ET group and of 26.8% in the LT group.
Conclusion- It was observed that the early tracheostomy had a significant benefit in shortening the duration ofthe MV, lessening the sedation time and also minimizing the risks of weaning failure, but ithad no notable impact on both the overall duration of ICU stay as well as the VAP incidence.
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