TY - JOUR ID - 45808 TI - The Outcome Analysis and Complication Rates of Tracheostomy Tube Insertion in Critically Ill Neurosurgical Patients; A Data Mining Study JO - Bulletin of Emergency And Trauma JA - BEAT LA - en SN - 2322-2522 AU - Kumar, Veldurti Ananta Kiran AU - Sai Kiran, Narayanam AU - Kumar, Valluri Anil AU - Ghosh, Amrita AU - Pal, Ranabir AU - Reddy, Vishnu Vardhan AU - Agrawal, Amit AD - Department of Neurosurgery, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh AD - Department of Anesthesia, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh AD - Department of Biochemistry, Medical College, 88, College Street, Kolkata-700073 AD - Department of Community Medicine, MGM Medical College & LSK Hospital, Kishanganj-855107, Bihar Y1 - 2019 PY - 2019 VL - 7 IS - 4 SP - 355 EP - 360 KW - Tracheostomy KW - timing KW - Survival KW - Outcome DO - 10.29252/beat-070403 N2 - Objectives: To assess the impact, timing, the intra and early post-operative complications and the survival outcome of tracheostomy in critically ill neurosurgery patients. Methods: This study was a retrospective data mining where data was collected from hospital records from 175 consecutive patients who underwent tracheostomy in the department of Neurosurgery at the Narayna Medical College Hospital, Nellore, India from Jan 2016 to April 2018. A proforma was used to note down the details on the patient status before and after tracheostomy: Glasgow coma scale (GCS), procedure and intra and post-operative complications, type of tracheostomy cannula, details of decannulation, respiration difficulties, and problems with wound, swallowing difficulties, and voice difficulties, stay in intensive care unit (ICU) and hospital and survival status of the patient. Results: In our series, mean age of TBI cases was 47.42±16.62; mean hospital stay and ICU stay was 18.81±10.22 and 12.58±7.36 days respectively. In all age groups, more tracheostomy was needed in cranial injury cases and surgery was major intervention. Commoner complications were mucous deposition (6.86%), blockage of tracheostomy canula (6.29%), bleeding from multiple attempts (6.06%), excessive bleeding (2.94%). Cranial injury needed tracheostomy more in all age groups and more done at operation theatre without significant improvement of GCS score. Survival was statistically higher after tracheostomy irrespective of GCS status or venue of intervention. Conclusion: Tracheostomy should be considered as soon as the need for airway access is identified during intervention of the critically ill neurosurgical patients. UR - https://beat.sums.ac.ir/article_45808.html L1 - https://beat.sums.ac.ir/article_45808_046f25360006ca73fffded62a68ad71c.pdf ER -