Early tracheostomy versus late tracheostomy in the surgical intensive care unit

This study’s purpose was to determine if early tracheostomy (ET) of severely injured patients reduces days of ventilatory support, the frequency of ventilator-associated pneumonia (VAP), and surgical intensive care unit (SICU) length of stay (LOS). This 2-year retrospective review included 185 SICU...

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Bibliographic Details
Published in:The American journal of surgery 2005-03, Vol.189 (3), p.293-296
Main Authors: Möller, Mecker G., Slaikeu, Jason D., Bonelli, Pablo, Davis, Alan T., Hoogeboom, James E., Bonnell, Bruce W.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Aged, 80 and over
Airway management
Biological and medical sciences
Chronic obstructive pulmonary disease
Confidence intervals
Critical Care
Diabetes
Early tracheostomy
Female
General aspects
Hospitals
Humans
Injuries
Intensive care
Intubation
Length of Stay
Logistics
Male
Medical sciences
Middle Aged
Neurosurgery
Ostomy
Patients
Pneumonia - etiology
Pneumonia - prevention & control
Ratios
Regression analysis
Respiration, Artificial
Retrospective Studies
Studies
Surgery
Surgical ICU
Thoracic surgery
Time Factors
Timing of tracheostomy
Tracheostomy
VAP
Ventilation
Ventilators
Ventilators, Mechanical - adverse effects
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Description
Summary:This study’s purpose was to determine if early tracheostomy (ET) of severely injured patients reduces days of ventilatory support, the frequency of ventilator-associated pneumonia (VAP), and surgical intensive care unit (SICU) length of stay (LOS). This 2-year retrospective review included 185 SICU patients with acute injuries requiring mechanical ventilation and tracheostomy. ET was defined as 7 days or less, and late tracheostomy (LT) as more than 7 days. The incidence of VAP was significantly higher in the LT group, relative to the ET group (42.3% vs. 27.2%, respectively; P
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2005.01.002