Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury

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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hussein Abdelkader, Esmail Ramadan, Ahmed Elgarhy
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	endotracheal intubation tracheostomy complications of tracheostomy severe head injury mechanical ventilation Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d9e13044866543678bd59b0d7be8333d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:d9e13044866543678bd59b0d7be8333d
record_format	dspace
spelling	oai:doaj.org-article:d9e13044866543678bd59b0d7be8333d2021-12-02T19:36:37ZComparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury2636-41742682-378010.21608/ijma.2021.81116.1329https://doaj.org/article/d9e13044866543678bd59b0d7be8333d2021-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_189447_8243faecc161fabdf028148016c894ad.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Hussein AbdelkaderEsmail RamadanAhmed ElgarhyAl-Azhar University, Faculty of Medicine (Damietta)articleendotracheal intubationtracheostomycomplications of tracheostomysevere head injurymechanical ventilationMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 4, Pp 1772-1776 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	endotracheal intubation tracheostomy complications of tracheostomy severe head injury mechanical ventilation Medicine (General) R5-920
spellingShingle	endotracheal intubation tracheostomy complications of tracheostomy severe head injury mechanical ventilation Medicine (General) R5-920 Hussein Abdelkader Esmail Ramadan Ahmed Elgarhy Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury
description	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.
format	article
author	Hussein Abdelkader Esmail Ramadan Ahmed Elgarhy
author_facet	Hussein Abdelkader Esmail Ramadan Ahmed Elgarhy
author_sort	Hussein Abdelkader
title	Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury
title_short	Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury
title_full	Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury
title_fullStr	Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury
title_full_unstemmed	Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury
title_sort	comparative study between early tracheostomy and extended endotracheal intubation in severe head injury
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/d9e13044866543678bd59b0d7be8333d
work_keys_str_mv	AT husseinabdelkader comparativestudybetweenearlytracheostomyandextendedendotrachealintubationinsevereheadinjury AT esmailramadan comparativestudybetweenearlytracheostomyandextendedendotrachealintubationinsevereheadinjury AT ahmedelgarhy comparativestudybetweenearlytracheostomyandextendedendotrachealintubationinsevereheadinjury
_version_	1718376353655422976

Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury

Ejemplares similares