Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury | ||
| International Journal of Medical Arts | ||
| Article 2, Volume 3, Issue 4, October 2021, Pages 1772-1776 PDF (1.22 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2021.81116.1329 | ||
| Authors | ||
| Hussein Magdy Abdelkader* 1; Esmail H Ramadan2; Ahmed M.M Elgarhy3 | ||
| 1Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt | ||
| 2Consultant of General Surgery, El Haram hospital, Giza, Egypt | ||
| 3Department of Anaesthesia and Intensive Care Unit, Faculty of Medicine, Al-Azhar University, Egypt | ||
| Abstract | ||
| Background: The optimal tracheostomy time is considered a debatable issue for patients with severe Head injury in intensive care units [ICUs], which require mechanical ventilation [MV] for long period. The aim of the work: The current study aimed to investigate the effect of tracheostomy operation in early few days of admission on the length of mechanical ventilation [MV]. In addition, to determine outcomes and associated mortality rate. Patients and Methods: a prospective randomized Comparative clinical study included 200 patients admitted to ICU units of Al-Azhar university hospitals and El Haram hospital who had the following criteria: severe head injury, Cerebral trauma on and Glasgow Coma Scale [GCS] score 8 or less on the fourth day viewed by brain CT scan done without given any sedation. Divided into 2 groups on the fourth day of admission each group includes 100 patients, one group submitted to early Tracheostomy [ET] [group A] and the other group submitted to extended endotracheal intubation [EEI] [Group B]. Results: There was shorter in the main period of the mechanical ventilatory support for group A than group B with statistically significant relationship p value=0.02.Their no remarkable difference in the occurrence of Nosocomial pneumonia between group A and group B. p value of Nosocomial pneumonia = 0.62. Conclusion: In severe head injury, ET significantly decreases the mechanical ventilation time. | ||
| Keywords | ||
| Endotracheal Intubation; Tracheostomy; Complications of Tracheostomy; Severe Head Injury; Mechanical Ventilation | ||
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