Early versus late tracheostomy in critically ill patients

Abstract

Introduction: Tracheostomy is a common surgical procedure which is done in intensive care unit patient ICU. We examined the potential effects of time tracheostomy in ICU.
Aim: A retrospective and prospective study was designed to clarity the effect, outcome and prognosis of early and late tracheostomy in such two groups.
Patients and methods: This study was conducted at department of otolaryngology in Al-Hilla Teaching General Hospital over a period of two years from Feb 2014 to Feb 2016, regardless the age, sex and type of tracheostomy.
Tracheostomy was considered as early ET if it is performed before or on day ten of mechanical ventilation MV of 263 ICU patients,64 require tracheostomy,23 of whom were early and 42 were late.
Results: 1 Most common causes of ICU admission who need ET was traumatic patient
2 Overall mortality rate was less in ET vs LT group
3 Other outcomes like (duration of MV, LOS, VAP, laryngotracheal lesions) were also less with ET vs LT
Conclusion: Based on our study, ET is expected to have better outcome on ICU patient

References

  • Agbaht, K., Diaz, E., Muñoz, E., Lisboa, T., Gomez, F., Depuydt, P. O.,... & Rello, J. (2007). Bacteremia in patients with ventilator-associated pneumonia is associated with increased mortality: a study comparing bacteremic vs. nonbacteremic ventilator-associated pneumonia. Critical care medicine, 35(9), 2064-2070.
  • Andriolo, B. N., Andriolo, R. B., Saconato, H., Atallah, Á. N., & Valente, O. (2015). Early versus late tracheostomy for critically ill patients. Cochrane database of systematic reviews, (1).
  • Armstrong, P. A., McCarthy, M. C., & Peoples, J. B. (1998). Reduced use of resources by early tracheostomy in ventilator-dependent patients with blunt trauma. Surgery, 124(4), 763-767.
  • Bardell, T., & Drover, J. W. (2005). Recent developments in percutaneous tracheostomy: improving techniques and expanding roles. Current Opinion in Critical Care, 11(4), 326-332.
  • Barquist, E. S., Amortegui, J., Hallal, A., Giannotti, G., Whinney, R., Alzamel, H., & MacLeod, J. (2006). Tracheostomy in ventilator dependent trauma patients: a prospective, randomized intention-to-treat study. Journal of Trauma and Acute Care Surgery, 60(1), 91-97.
  • Bickenbach, J., Fries, M., Offermanns, V., Von Stillfried, R., Rossaint, R., Marx, G., & Dembinski, R. (2011). Impact of early vs. late tracheostomy on weaning: a retrospective analysis. Minerva anestesiologica, 77(12), 1176.
  • Blot, F., Similowski, T., Trouillet, J. L., Chardon, P., Korach, J. M., Costa, M. A.,... & Bruder, N. (2008). Early tracheotomy versus prolonged endotracheal intubation in unselected severely ill ICU patients. Intensive care medicine, 34(10), 1779-1787.
  • Bouderka, M. A., Fakhir, B., Bouaggad, A., Hmamouchi, B., Hamoudi, D., & Harti, A. (2004). Early tracheostomy versus prolonged endotracheal intubation in severe head injury. Journal of Trauma and Acute Care Surgery, 57(2), 251-254.
  • Brook, A. D., Sherman, G., Malen, J., & Kollef, M. H. (2000). Early versus late tracheostomy in patients who require prolonged mechanical ventilation. American Journal of Critical Care, 9(5), 352.
  • Cavalier S, Bezzim,Toninelli C,Foccoli p.(2007). Mangegment of post intubation tracheal stenosis using endoscopic approach.Monaldi Archive for chest disease;67(2)73-80.
  • Combes, A., Luyt, C. E., Nieszkowska, A., Trouillet, J. L., Gibert, C., & Chastre, J. (2007). Is tracheostomy associated with better outcomes for patients requiring long-term mechanical ventilation?. Critical care medicine, 35(3), 802-807.
  • Cross, A. S., & Roup, B. (1981). Role of respiratory assistance devices in endemic nosocomial pneumonia. The American journal of medicine, 70(3), 681-685.
  • De Leyn, P., Bedert, L., Delcroix, M., Depuydt, P., Lauwers, G., Sokolov, Y.,... & Van Schil, P. (2007). Tracheotomy: clinical review and guidelines. European journal of cardio-thoracic surgery, 32(3), 412-421.
  • Delaney, A., Bagshaw, S. M., & Nalos, M. (2006). Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis. Critical care, 10(2), R55.
  • Devarajan, J., Vydyanathan, A., Xu, M., Murthy, S. M., McCurry, K. R., Sessler, D. I.,... & Bashour, C. A. (2012). Early tracheostomy is associated with improved outcomes in patients who require prolonged mechanical ventilation after cardiac surgery. Journal of the American College of Surgeons, 214(6), 1008-1016.
  • Dunham CM, LaMONICA C. (1984). Prolonged tracheal intubation in the trauma patient. Journal of Trauma and Acute Care Surgery, 24(2), 120-124.
  • Durbin, C. G., Perkins, M. P., & Moores, L. K. (2010). Should tracheostomy be performed as early as 72 hours in patients requiring prolonged mechanical ventilation?. Respiratory care, 55(1), 76-87.
  • Feldman, C., Kassel, M., Cantrell, J., Kaka, S., Morar, R., Mahomed, A. G., & Philips, J. I. (1999). The presence and sequence of endotracheal tube colonization in patients undergoing mechanical ventilation. European Respiratory Journal, 13(3), 546-551.
  • Freeman, B. D., Kennedy, C., Robertson, T. E., Coopersmith, C. M., Schallom, M., Sona, C.,... & Buchman, T. G. (2008). Tracheostomy protocol: experience with development and potential utility. Critical care medicine, 36(6), 1742-1748.
  • Griffiths, J., Barber, V. S., Morgan, L., & Young, J. D. (2005). Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. Bmj, 330(7502), 1243.
  • Harrop, J. S., Sharan, A. D., Scheid, E. H., Vaccaro, A. R., & Przybylski, G. J. (2004). Tracheostomy placement in patients with complete cervical spinal cord injuries: American Spinal Injury Association Grade A. Journal of Neurosurgery: Spine, 100(1), 20-23.
  • Hsu, C. L., Chen, K. Y., Chang, C. H., Jerng, J. S., Yu, C. J., & Yang, P. C. (2004). Timing of tracheostomy as a determinant of weaning success in critically ill patients: a retrospective study. Critical Care, 9(1), R46.
  • Kim, SH, Kimy, A. (1985). clinical study about effect of tracheostomy in the brain damaged patients. J. Korean Neurosurg. Soc 14 : 175 – 982,
  • Kluge, S., Baumann, H. J., Maier, C., Klose, H., Meyer, A., Nierhaus, A., & Kreymann, G. (2008). Tracheostomy in the intensive care unit: a nationwide survey. Anesthesia & Analgesia, 107(5), 1639-1643.
  • Latour, J., Abraira, V., & Cabello, J. B. (1997). Investigation methods in clinical cardiology. IV. Clinical measurements in cardiology: validity and errors of measurements. Revista Española de Cardiología, 50(2), 117-128.
  • Lesnik, I., Rappaport, W., Fulginiti, J., & Witzke, D. (1992). The role of early tracheostomy in blunt, multiple organ trauma. The American Surgeon, 58(6), 346-349.
  • Möller, M. G., Slaikeu, J. D., Bonelli, P., Davis, A. T., Hoogeboom, J. E., & Bonnell, B. W. (2005). Early tracheostomy versus late tracheostomy in the surgical intensive care unit. The American journal of surgery, 189(3), 293-296.
  • Murthy, S. C., Arroliga, A. C., Walts, P. A., Feng, J., Yared, J. P., Lytle, B. W., & Blackstone, E. H. (2007). Ventilatory dependency after cardiovascular surgery. The Journal of thoracic and cardiovascular surgery, 134(2), 484-490.
  • Nowak P, Cohn AM, Guidice MA (1987). Airway complications in patients with closed – head injury. AMJ otolaryngology. 1987 ; 8 : 91 – 96.
  • Nseir, S., Di Pompeo, C., Jozefowicz, E., Cavestri, B., Brisson, H., Nyunga, M.,... & Durocher, A. (2007). Relationship between tracheotomy and ventilator-associated pneumonia: a case–control study. European Respiratory Journal, 30(2), 314-320.
  • Ranas, Pendems, Pogodzins Kims, Hubmayr RD, GaJic O(2005). Tracheostomy in critically ill patients. Mayo clin proc. Dec ; 80 (12) ; 1632 – 8.
  • Rello, J., Ollendorf, D. A., Oster, G., Vera-Llonch, M., Bellm, L., Redman, R., & Kollef, M. H. (2002). Epidemiology and outcomes of ventilator-associated pneumonia in a large US database. Chest, 122(6), 2115-2121.
  • Richard, I., Giraud, M., Perrouin-Verbe, B., Hiance, D., de la Greve, I. M., & Mathé, J. F. (1996). Laryngotracheal stenosis after intubation of tracheostomy in patients with neurological disease. Archives of physical medicine and rehabilitation, 77(5), 493-496.
  • Rodriguez, J. L., Steinberg, S. M., Luchetti, F. A., Gibbons, K. J., Taheri, P. A., & Flint, L. M. (1990). Early tracheostomy for primary airway management in the surgical critical care setting. British journal of surgery, 77(12), 1406-1410.
  • Rumbak, M. J., Newton, M., Truncale, T., Schwartz, S. W., Adams, J. W., & Hazard, P. B. (2004). A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Critical care medicine, 32(8), 1689-1694.
  • Sahito, H. A., Kousar, T., Mangrio, W. M., Mallah, N. A., Jatoi, F. A., Shah, Z. H., & Kubar, W. A. (2017). Stage Specific Life Table of Invasive Pest Mealybug, Phenacoccus Solenopsis (Tinsley) Under Cotton Field Conditions. Current Research in Agricultural Sciences, 4(2), 43-50.
  • Scales, D. C., Thiruchelvam, D., Kiss, A., & Redelmeier, D. A. (2008). The effect of tracheostomy timing during critical illness on long-term survival. Critical care medicine, 36(9), 2547-2557.
  • Seder, D. B., Lee, K., Rahman, C., Rossan-Raghunath, N., Fernandez, L., Rincon, F.,... & Badjatia, N. (2009). Safety and feasibility of percutaneous tracheostomy performed by neurointensivists. Neurocritical care, 10(3), 264.
  • Terragni, P. P., Antonelli, M., Fumagalli, R., Faggiano, C., Berardino, M., Pallavicini, F. B.,... & Vivaldi, N. (2010). Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trial. Jama, 303(15), 1483-1489.
  • Veelo, D. P., Dongelmans, D. A., Binnekade, J. M., Korevaar, J. C., Vroom, M. B., & Schultz, M. J. (2006). Tracheotomy does not affect reducing sedation requirements of patients in intensive care–a retrospective study. Critical Care, 10(4), R99.
  • Villar, J., Blanco, J., Zhang, H., & Slutsky, A. S. (2011). Ventilator-induced lung injury and sepsis: two sides of the same coin. Minerva Anestesiol, 77(6), 647-653.
  • Vincent, J. L., Lobo, S., & Struelens, M. (2001). Ventilator associated pneumonia: risk factors and preventive measures. Journal of chemotherapy, 13(sup4), 211-217.
  • Walts, P. A., Murthy, S. C., Arroliga, A. C., Yared, J. P., Rajeswaran, J., Rice, T. W.,... & Blackstone, E. H. (2006). Tracheostomy after cardiovascular surgery: an assessment of long-term outcome. The Journal of thoracic and cardiovascular surgery, 131(4), 830-837.
  • Yassen M. Arabi, Jamal A. Alhashemi, Hani M T.(2009).. Andres Esteban, Samir H. Haddad. Abdulaziz Dawood, Nehad shirawi, Abdullah Alshimeri. The impact of time to tracheostomy on mechanical ventilation duration, length of stay and mortality intensive care unit patients. Journal of critical care 24, 435 – 440.

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