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Timing of tracheostomy and associated complications in cardiothoracic intensive care patients.

Zochios V, Casey J, Parhar K, Vuylsteke A - Heart Lung Vessel (2015)

View Article: PubMed Central - PubMed

Affiliation: Cardiothoracic Intensive Care Unit, Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge, UK.

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Tracheostomy is an invasive procedure that creates a surgical airway in the cervical trachea and is commonly performed in critically ill patients requiring prolonged mechanical ventilation (MV)... Although it is an invasive surgical procedure it has many potential benefits, including reduced sedation requirements, airway security, reduced dead space and airway resistance and improved patient comfort... After obtaining institutional review board approval, we reviewed all consecutive patients, admitted to our cardiothoracic ICU for MV between January 2011 and May 2014... We separated tracheostomised patients into two groups: the ‘early tracheostomy group’ including patients who had a tracheostomy within the first 10 days of MV; and the  ‘late tracheostomy group’ including patients receiving a tracheostomy after 10 days of MV... Six patients (6%) suffered cardiorespiratory arrest secondary to tracheostomy associated causes and they were successfully resuscitated... One patient died due a tracheostomy-related cause (secondary haemorrhage and airway obstruction)... Twenty-two patients died in the early tracheostomy group (10 patients died with 30 days of their ICU stay and 8 patients died after 30 days)... Twenty-six patients died in the late group (10 patients died within 30 days of their ICU stay and 20 patients died after 30 days)... A mortality rate of 0.08% was reported within a 30-day ICU stay and 0.12% mortality rate after 30 days (Table 1)... The data from our retrospective review indicate that bedside percutaneous tracheostomy is not without risks in cardiothoracic ICU patients.

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Clinical characteristics of study population.MV = mechanical ventilation; ICU = intensive care unit.
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Figure 001: Clinical characteristics of study population.MV = mechanical ventilation; ICU = intensive care unit.


Timing of tracheostomy and associated complications in cardiothoracic intensive care patients.

Zochios V, Casey J, Parhar K, Vuylsteke A - Heart Lung Vessel (2015)

Clinical characteristics of study population.MV = mechanical ventilation; ICU = intensive care unit.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4476773&req=5

Figure 001: Clinical characteristics of study population.MV = mechanical ventilation; ICU = intensive care unit.

View Article: PubMed Central - PubMed

Affiliation: Cardiothoracic Intensive Care Unit, Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge, UK.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Tracheostomy is an invasive procedure that creates a surgical airway in the cervical trachea and is commonly performed in critically ill patients requiring prolonged mechanical ventilation (MV)... Although it is an invasive surgical procedure it has many potential benefits, including reduced sedation requirements, airway security, reduced dead space and airway resistance and improved patient comfort... After obtaining institutional review board approval, we reviewed all consecutive patients, admitted to our cardiothoracic ICU for MV between January 2011 and May 2014... We separated tracheostomised patients into two groups: the ‘early tracheostomy group’ including patients who had a tracheostomy within the first 10 days of MV; and the  ‘late tracheostomy group’ including patients receiving a tracheostomy after 10 days of MV... Six patients (6%) suffered cardiorespiratory arrest secondary to tracheostomy associated causes and they were successfully resuscitated... One patient died due a tracheostomy-related cause (secondary haemorrhage and airway obstruction)... Twenty-two patients died in the early tracheostomy group (10 patients died with 30 days of their ICU stay and 8 patients died after 30 days)... Twenty-six patients died in the late group (10 patients died within 30 days of their ICU stay and 20 patients died after 30 days)... A mortality rate of 0.08% was reported within a 30-day ICU stay and 0.12% mortality rate after 30 days (Table 1)... The data from our retrospective review indicate that bedside percutaneous tracheostomy is not without risks in cardiothoracic ICU patients.

No MeSH data available.