The Outcome Analysis and Complication Rates of Tracheostomy Tube Insertion in Critically Ill Neurosurgical Patients; A Data Mining Study

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Kiran Kumar Veldurti Ananta; Sai Kiran Narayanam Ananatha; Kumar Valluri Anil; GHOSH AMRITA; Pal Ranabir; Reddy Vishnu Vardhan; AGRAWAL AMIT

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Journal: Bulletin of Emergency And Trauma Year:2019 | Volume:7 | Issue:4 Page(s): 355-360

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Title

The Outcome Analysis and Complication Rates of Tracheostomy Tube Insertion in Critically Ill Neurosurgical Patients; A Data Mining Study

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Keywords

Tracheostomy

Timing

Survival

Outcome

Abstract

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 postoperative 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.

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APA: Copy

Kiran Kumar, Veldurti Ananta, Sai Kiran, Narayanam Ananatha, Kumar, Valluri Anil, GHOSH, AMRITA, Pal, Ranabir, Reddy, Vishnu Vardhan, & AGRAWAL, AMIT. (2019). The Outcome Analysis and Complication Rates of Tracheostomy Tube Insertion in Critically Ill Neurosurgical Patients; A Data Mining Study. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 7(4), 355-360. SID. https://sid.ir/paper/335190/en

Vancouver: Copy

Kiran Kumar Veldurti Ananta, Sai Kiran Narayanam Ananatha, Kumar Valluri Anil, GHOSH AMRITA, Pal Ranabir, Reddy Vishnu Vardhan, AGRAWAL AMIT. The Outcome Analysis and Complication Rates of Tracheostomy Tube Insertion in Critically Ill Neurosurgical Patients; A Data Mining Study. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2019;7(4):355-360. Available from: https://sid.ir/paper/335190/en

IEEE: Copy

Veldurti Ananta Kiran Kumar, Narayanam Ananatha Sai Kiran, Valluri Anil Kumar, AMRITA GHOSH, Ranabir Pal, Vishnu Vardhan Reddy, and AMIT AGRAWAL, “The Outcome Analysis and Complication Rates of Tracheostomy Tube Insertion in Critically Ill Neurosurgical Patients; A Data Mining Study,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 7, no. 4, pp. 355–360, 2019, [Online]. Available: https://sid.ir/paper/335190/en

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