Early versus late tracheostomy in critically ill patients


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


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