Prefer early tracheostomy
Comparative study of early and late tracheostomy with poor GCS patients in intensive care units in two hospitals
Keywords:
tracheostomy, ventilator associated pneumonia, mechanical ventilation, head injury, glasgow coma scale, intensive careAbstract
Tracheotomies are commonly performed for the patients with low GCS who needs a respiratory support. Still over the period there existed a controversy when to do tracheotomy ? Early or late. Our study aimed at reassessing the complications of delayed tracheotomy versus the advantages of the early tracheostomy. This was a prospective comparative, observational study comprising of 140 patients in 2 different hospitals admitted to the neurosurgery ICU with poor GCS. Group A: Early tracheostomy (2-5 days) and Group B: Late tracheostomy (7-14 days). Both groups were followed ,Early tracheostomy required a mechanical ventilator support for average 5-8 days with early weaning whereas late tracheostomy required 12-20 days of mechanical
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