Timing of tracheostomy & its outcome in intensive care unit

Abstract

Background: Tracheostomy is a commonly performed procedure to facilitate prolonged ventilator-based respiratory support in patients with respiratory failure. The side effects of tracheostomy includes tracheal stenosis, increased bacterial colonization and haemorrhage. The present study was conducted to assess timing of Tracheostomy & its outcome in Intensive care unit. Material & Methods: A retrospective study was done to assess timing of tracheostomy -early vs late, its outcome, as a determinant of weaning success in intensive care patients. The weaning process was begun with synchronized intermittent mandatory ventilation with pressure support. Medical records were analyzed for age, sex, underlying disease and cause of intubation, Acute Physiology and Chronic Health Evaluation (APACHE) II score17, duration of mechanical ventilation, complications of tracheostomy, pneumonia after tracheostomy, length of ICU stay, and mortality in the ICU and hospital. The analysis of the data was performed using the Statistical Package for the Social Sciences (SPSS, IBM Corp., Armonk, NY, US) software, version 22. P < 0.05 will be considered statistically significant. Results: In the present study a total population of 100 patient with tracheostomy were included. Successful weaning occurs in 40% patients and 60% patients fail to wean.