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Bulletin of Emergency and Trauma، جلد ۷، شماره ۴، صفحات ۳۵۵-۳۶۰
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عنوان انگلیسی The Outcome Analysis and Complication Rates of Tracheostomy Tube Insertion in Critically Ill Neurosurgical Patients; A Data Mining Study
چکیده انگلیسی مقاله Objectives: To assess the impact, timing, the intra and early post-operative complications and the survival outcome of tracheostomy in critically ill neurosurgery patients. Methods: This study was a retrospective data mining where data was collected from hospital records from 175 consecutive patients who underwent tracheostomy in the department of Neurosurgery at the Narayna Medical College Hospital, Nellore, India from Jan 2016 to April 2018. A proforma was used to note down the details on the patient status before and after tracheostomy: Glasgow coma scale (GCS), procedure and intra and post-operative complications, type of tracheostomy cannula, details of decannulation, respiration difficulties, and problems with wound, swallowing difficulties, and voice difficulties, stay in intensive care unit (ICU) and hospital and survival status of the patient. Results: In our series, mean age of TBI cases was 47.42±16.62; mean hospital stay and ICU stay was 18.81±10.22 and 12.58±7.36 days respectively. In all age groups, more tracheostomy was needed in cranial injury cases and surgery was major intervention. Commoner complications were mucous deposition (6.86%), blockage of tracheostomy canula (6.29%), bleeding from multiple attempts (6.06%), excessive bleeding (2.94%). Cranial injury needed tracheostomy more in all age groups and more done at operation theatre without significant improvement of GCS score. Survival was statistically higher after tracheostomy irrespective of GCS status or venue of intervention. Conclusion: Tracheostomy should be considered as soon as the need for airway access is identified during intervention of the critically ill neurosurgical patients.
کلیدواژه‌های انگلیسی مقاله Tracheostomy,timing,Survival,Outcome
نویسندگان مقاله Veldurti Ananta Kiran Kumar |
Department of Neurosurgery, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh

Narayanam Sai Kiran |
Department of Neurosurgery, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh

Valluri Anil Kumar |
Department of Anesthesia, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh

Amrita Ghosh |
Department of Biochemistry, Medical College, 88, College Street, Kolkata-700073

Ranabir Pal |
Department of Community Medicine, MGM Medical College & LSK Hospital, Kishanganj-855107, Bihar

Vishnu Vardhan Reddy |
Department of Neurosurgery, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh

Amit Agrawal |
Department of Neurosurgery, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh

نشانی اینترنتی http://beat.sums.ac.ir/article_45808_41e6282e1497f94897e1a3fcad48f17b.pdf
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