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365935

The Effect of Tracheostomy Timing in Critically Ill Patients Undergoing Mechanical Ventilation

Article

Last updated: 29 Dec 2024

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Abstract

Background: The ideal timing of tracheostomy in intensive care units (ICUs) for critically ill patients undergoing mechanical ventilation (MV) is still a matter of debate. The aim of this work was to determine and analyze the proper timing of tracheostomy and its impact on various clinical outcomes of adult patients in ICUs undergoing MV. Material and Methods: This prospective cohort observational study was carried out on 43 critically ill patients on MV in ICU patients aged ≥18 years old, both sexes, expected to be on prolonged MV. Patients were divided into two groups: Early tracheostomy (ET) group (n=20), who submitted to tracheostomy within 10 days post intubation. and late tracheostomy (LT) group (n=23), who submitted to tracheostomy between 11- and 21 days post intubation.
The correlation between the timing of tracheostomy of each group and various associated ICU clinical parameters were analyzed. Results: There was a positive correlation between ventilator-associated pneumonia (VAP) and mortality (P =0.013) which was statistically significant. There was a negative correlation between mortality and length of ICU stay (P=0.009), and duration of sedation (P=0.028) in ET Conclusions: ET had a notable benefit in VAP incidence, shortening the duration of the MV, lessening the sedation time, minimizing the risks of weaning failure and decreasing length of overall ICU stay, but it had no significant impact on mortality.

DOI

10.21608/jicem.2024.365935

Keywords

Tracheostomy Timing, Critically, Mechanical Ventilation, Intensive Care Unit

Authors

First Name

Radwa

Last Name

Fouda

MiddleName

Ashraf

Affiliation

Assistant Lecturer of Emergency Medicine and Traumatology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

radwa.fouda.990@gmail.com

City

Tanta

Orcid

-

First Name

Ahmed

Last Name

Hamed

MiddleName

Mohammed

Affiliation

Professor of Anesthesiology and Surgical Intensive Care Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

ahmed.hamed@med.tanta.edu.eg

City

Tanta

Orcid

-

First Name

Mohamed

Last Name

Elsheikh

MiddleName

Nasser

Affiliation

Professor of Otorhinolaryngology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

mohamed.elshaikh1@med.tanta.edu.eg

City

Tanta

Orcid

-

First Name

Sameh

Last Name

Ismaiel

MiddleName

Abdelkhalik

Affiliation

Assistant Professor of Anesthesiology and Surgical Intensive Care Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

sameh.ismaiel@med.tanta.edu.eg

City

Tanta

Orcid

-

First Name

Hala

Last Name

Ali

MiddleName

Desouky

Affiliation

Lecturer of Emergency Medicine and Traumatology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

hala.ali@med.tanta.edu.eg

City

-

Orcid

-

First Name

Mohamed

Last Name

Shama

MiddleName

Abd El Hady

Affiliation

Lecturer of Emergency Medicine and Traumatology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Email

m_shama80@med.tanta.edu.eg

City

Tanta

Orcid

-

Volume

4

Article Issue

2

Related Issue

49025

Issue Date

2024-06-01

Receive Date

2024-05-05

Publish Date

2024-06-01

Page Start

7

Page End

22

Print ISSN

2812-5452

Online ISSN

2812-5460

Link

https://jicem.journals.ekb.eg/article_365935.html

Detail API

https://jicem.journals.ekb.eg/service?article_code=365935

Order

365,935

Type

Original papers

Type Code

2,351

Publication Type

Journal

Publication Title

The Egyptian Journal of Intensive Care and Emergency Medicine

Publication Link

https://jicem.journals.ekb.eg/

MainTitle

The Effect of Tracheostomy Timing in Critically Ill Patients Undergoing Mechanical Ventilation

Details

Type

Article

Created At

29 Dec 2024