TITLE

Hospital and Long-Term Outcome of Trauma Patients with Tracheostomy for Respiratory Failure

AUTHOR(S)
Engoren, Milo; Arslanian-Engoren, Cynthia
PUB. DATE
February 2005
SOURCE
American Surgeon;Feb2005, Vol. 71 Issue 2, p123
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Studies of tracheostomy for respiratory failure have suggested a poor prognosis, however, trauma patients may have a better outcome. Data from 113 trauma patients were retrospectively analyzed for comorbidities, laboratory values, and hospital course. Long-term survival was determined from the Social Security Death Index. Trauma patients were young, overwhelmingly male, relatively healthy, and frequently uninsured. Seventy-five per cent of trauma patients were liberated from mechanical ventilation by hospital discharge. Timing of tracheostomy had no effect on days of mechanical ventilation or hospital length of stay. Hospital survival was 98 per cent, and 3-year Kaplan-Meier survival was 80 per cent. Older age and higher admission creatinine levels were predictive of late death. Trauma patients who undergo tracheostomy are likely to survive and be liberated from mechanical ventilation.
ACCESSION #
16338897

 

Related Articles

  • Assessment of Early Tracheostomy in Trauma Patients: A Systematic Review and Meta-Analysis. Dunham, C. Michael; Ransom, Kenneth J. // American Surgeon;Mar2006, Vol. 72 Issue 3, p276 

    The objective of this review was to assess outcomes in trauma patients undergoing early tracheostomy (ET). Abstract databases for the Eastern and American Associations for the Surgery of Trauma and Medline were searched to find trauma patient studies comparing ET and late tracheostomy (LT) or ET...

  • Cut throat zone II neck injury and advantage of a feeding jejunostomy. Darlong, Laleng M.; Shunyu, Neizekhotuo B.; Das, Rubul; Mallik, Saikat // Journal of Emergencies, Trauma & Shock;Sep2009, Vol. 2 Issue 3, p213 

    Penetrating neck injuries account for 5-10% of trauma cases and are potentially life threatening. We report a case of cut- throat zone II neck injury in a 45-year-old male extending up to posterior pharyngeal wall and exposing the underlying cervical vertebra. Tracheostomy was done and wound...

  • Usefulness and Safety of Open Tracheostomy by Paramedian Approach for Cervical Infection: Esophageal and Tracheal Injury and Necrotizing Fascitis. MORIWAKI, YOSHIHIRO; SUGIYAMA, MITSUGI; IWASHITA, MASAYUKI; HARUNARI, NOBUYUKI; TOYODA, HIROSHI; KOSUGE, TAKAYUKI; ARATA, SHINJU; SUZUKI, NORIYUKI // American Surgeon;Nov2010, Vol. 76 Issue 11, p1251 

    Tracheostomy is hardly performed in patients with cervical infection close to the site of the tracheostomy. This study aimed to present and clarify the usefulness and safety of open tracheostomy performed by the paramedian approach technique. The procedure is as follows. A 2.5-cm paramedian...

  • Percutaneous versus Conventional Tracheostomy in Burned Patients with Inhalation Injury. Gravvanis, Andreas; Tsoutsos, Dimosthenis; Iconomou, Thomais; Papadopoulos, Stefanos // World Journal of Surgery;Dec2005, Vol. 29 Issue 12, p1571 

    The aim of the study was to compare conventional tracheostomy with percutaneous dilatational tracheostomy in patients with inhalation burn injury. A total of 37 patients with severe burn injuries and associated inhalation injury, underwent percutaneous tracheostomy in our burn unit and were...

  • Percutaneous tracheostomy: A cost-effective alternative to... McHenry, Christopher R.; Raeburn, Christopher D. // American Surgeon;Jul1997, Vol. 63 Issue 7, p646 

    Focuses on percutaneous tracheostomy as the cost-effective alternative to standard open tracheostomy. Methodology of the study; Indications for tracheostomy; Cost analysis for patients who underwent percutaneous versus open tracheostomy; Complication rates for percutaneous tracheostomy.

  • Percutaneous Dilatational Tracheostomy Is as Safe as Open Tracheostomy. Khalili, Theodore M.; Koss, Wega; Margulies, Daniel R.; Morrison, Esther; Shabot, M. Michael // American Surgeon;Jan2002, Vol. 68 Issue 1, p92 

    Although percutaneous dilatational tracheostomy (PDT) has been advocated as an alternative to open tracheostomy (OT) its relative safety has been questioned repeatedly. This study prospectively compared the safety and complications of PDT and OT. Ninety-four patients underwent PDT and 252...

  • Bedside tracheostomy: A STEP by STEP GUIDE. Astle, Sonia M.; Caulfield, Eileen V. // RN;Oct2003, Vol. 66 Issue 10, p41 

    Discusses a step-by-step guide to bedside tracheostomy. Definition of percutaneous tracheostomy; Supplies and equipment; Preparation of the patients.

  • Light at a tunnel's end: The lightwand as a rapid tracheal location aid when encountering false passage during tracheostomy. Goneppanavar, Umesh; Rao, Shwethapriya; Shetty, Nanda; Manjunath, Prabhu; Anjilivelil, Daniel Thomas; Iyer, Sadasivan S. // Indian Journal of Critical Care Medicine;Jul-Sep2010, Vol. 14 Issue 3, p144 

    False passage and loss of airway during tracheostomy are not uncommon, especially in patients with short and thick necks. Distorted neck anatomy following either repeated insertion attempts or due to underlying malignancy may make it very difficult to locate the trachea even while attempting...

  • A modification to aid open tracheostomy. Weight, S.C.; Nicholson, M.L. // Journal of the Royal College of Surgeons of Edinburgh;Jun2000, Vol. 45 Issue 3, p187 

    Presents a modification to the technique of surgical tracheostomy, which allows the surgeon complete control over the trachea during tube exchange and obviates the need for thyroid isthmus division. Method; Morbidity following tracheostomy; Benefits offered by the technique.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics