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ORIGINAL ARTICLE
Year : 2019  |  Volume : 9  |  Issue : 1  |  Page : 12-14

Outcome of tracheostomy in critically ill patients receiving mechanical ventilation


1 Consultant, Government District Hospital, Kanpur, India
2 Department of Otorhinolaryngology and Head Neck Surgery, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
3 Department of Respiratory Medicine, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India

Correspondence Address:
Dr. Rohit Sharma
Department of Otorhinolaryngology and Head Neck Surgery, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jlv.JLV_1_20

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Introduction: Acute respiratory failure requiring prolonged intubation is now the most common indication for tracheostomy. Aim: The aim of this study was to evaluate outcomes of tracheostomy, total days on ventilator and hospital stay, and ease of decannulation in intensive care unit (ICU) patients with regard to its timings (early versus late) and to compare the comorbidities and mortality in patients of both groups. Materials and Methods: The study was conducted on 45 critically ill patients who underwent endotracheal intubation followed by a tracheostomy. Results: In the early tracheostomy group (<7 days), the mean number of days of hospital stay was less, and there was a lesser incidence of early postoperative complications and earlier decannulation compared to the late tracheostomy group (>7 days). Early tracheostomy seems to have no benefit with respect to mean number of days on ventilator. Conclusion: Early tracheostomy has a significant positive impact on critically ill ICU patients.


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