BACKGROUND AND OBJECTIVES: Actually, Its doubtful if early tracheostomy (ET) can influence mechanical ventilation (MV) weaning time or the hospital length of stay in patients with traumatic brain injury (TBI). The main objective of this trial was to verify the influence of ET on weaning time of patients with severe TBI. METHODS: Prospective, observational study, including 33 patients with severe TBI (GCS < 10 at hospital admission), evaluated according to tracheostomy performance time (early: t < 6 days; intermediate: t = 7 to 11 days; and late: t > 12 days) and the weaning from MV. RESULTS: Total ventilation mechanical time has been reduced in the early tracheostomy group (n = 10; p < 0.0001). A lower GCS punctuation (mean 5.3 ± 2.5) in ET group has been negatively correlated with hospital length of stay (LOS) (p = 0.02). CONCLUSIONS: Early tracheostomy can decrease mechanical ventilation time, but does not influence hospital LOS in patients with severe traumatic brain injury.
BACKGROUND AND OBJECTIVES: Actually, Its doubtful if early tracheostomy (ET) can influence mechanical ventilation (MV) weaning time or the hospital length of stay in patients with traumatic brain injury (TBI). The main objective of this trial was to verify the influence of ET on weaning time of patients with severe TBI. METHODS: Prospective, observational study, including 33 patients with severe TBI (GCS < 10 at hospital admission), evaluated according to tracheostomy performance time (early: t < 6 days; intermediate: t = 7 to 11 days; and late: t > 12 days) and the weaning from MV. RESULTS: Total ventilation mechanical time has been reduced in the early tracheostomy group (n = 10; p < 0.0001). A lower GCS punctuation (mean 5.3 ± 2.5) in ET group has been negatively correlated with hospital length of stay (LOS) (p = 0.02). CONCLUSIONS: Early tracheostomy can decrease mechanical ventilation time, but does not influence hospital LOS in patients with severe traumatic brain injury.
Authors: Carlos M Romero; Rodrigo Cornejo; Eduardo Tobar; Ricardo Gálvez; Cecilia Luengo; Nivia Estuardo; Rodolfo Neira; José Luis Navarro; Osvaldo Abarca; Mauricio Ruiz; María Angélica Berasaín; Wilson Neira; Daniel Arellano; Osvaldo Llanos Journal: Rev Bras Ter Intensiva Date: 2015 Apr-Jun
Authors: Helena França Correia dos Reis; Mônica Lajana Oliveira Almeida; Mário Ferreira da Silva; Julião Oliveira Moreira; Mário de Seixas Rocha Journal: Rev Bras Ter Intensiva Date: 2013 Jul-Sep