Prospective Observational Study of Early Tracheostomy Role in Operated Severe Head Injury Patients at A Level 1 Trauma Center.

Bulletin of emergency and trauma Pub Date : 2021-10-01 DOI:10.30476/BEAT.2021.86725.1198

Rohit Bharti, Sindhu Sindhu, Ponraj K Sundaram, Ganesh Chauhan

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Abstract

Objective: To evaluate the impact of the early tracheostomy on operated patients with severe head injury.

Methods: This prospective observational study was conducted at a level 1 trauma center and medical college over one-year period. The study included all surgically managed severe head injury patients without any other life-threatening major injuries. Patients who underwent tracheostomy within 7 days were classified as early tracheostomy.

Results: The patient's mean age of this cohort study was 43.4±14.5 years. Motor-vehicle accidents were being the most common cause of severe head injury. Operated patients were undergoing early tracheostomy on an average of 2.9 days. We were observed that the patients spent on a mechanical ventilation on an average 3.67±2.26 days. This was significantly lower than previous four published studies (p<0.05) which had a range of mean 9.8-15.7 days.

Conclusion: We have shown that it is possible to decrease mechanical ventilation (MV) time, intensive care unit (ICU) stay and total hospital stay by doing early tracheostomy in operated severe head injury patients.

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A级创伤中心重型颅脑损伤手术患者早期气管切开术的前瞻性观察研究

目的:探讨早期气管切开术对重型颅脑损伤手术患者的影响。方法:本前瞻性观察研究在一级创伤中心和医学院进行，为期一年。该研究包括所有手术治疗的严重头部损伤患者，没有任何其他危及生命的重大损伤。7天内行气管切开术的患者被归类为早期气管切开术。结果:该队列研究患者的平均年龄为43.4±14.5岁。机动车事故是造成严重头部损伤的最常见原因。手术患者平均2.9天进行早期气管切开术。我们观察到患者平均机械通气时间为3.67±2.26天。结论:重型颅脑外伤手术患者早期气管切开术可减少机械通气(MV)时间、重症监护病房(ICU)住院时间和总住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.