ISSN 0303-5212
 

Original Research 
RMJ. 2022; 47(1): 183-186


Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy

Sadaf Nazir, Arif Raza, Sadia Afsar, Mohammad Faiq Ali, Syed Muneeb Younus, Qazi Muhammad Zeeshan.

Abstract
Objective: To compare early tracheostomy versus late procedure in patients undergoing decompression craniectomy.
Methodology: In this retrospective cross-sectional review we looked at data from February 2018 to May 2019. The inclusion criteria were all the patients requiring a decompressive craniectomy, were over the age of 18 years and did not have any significant co-morbid condition. All the patients underwent routine laboratory and radiographic investigations.
Results: Out of 50 patients, there were 22(44%) males and 28(56%) females. Mean age was 44±11 years. Sixteen (32%) patients underwent early tracheostomy while 34 (68%) had late tracheostomy. Twenty-eight (56%) were ventilated for less than 12 days while 22 (44%) were on the ventilator for more than 12 days. Statistically significant differences were found between two groups in terms of their duration on ventilation, occurrence of ventilator associated pneumonia, mortality and length of hospital stay. Gender and age differences were not statistically significant.
Conclusion: We found a significant reduction in use of ventilator, ventilator associated pneumonia and hospital stay in patients who underwent early tracheostomy as compared to late tracheostomy in patients undergoing decompressive craniectomy at our institute.

Key words: Craniectomy, decompression, tracheostomy.


 
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How to Cite this Article
Pubmed Style

Nazir S, Raza A, Afsar S, Ali MF, Younus SM, Zeeshan QM. Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy. RMJ. 2022; 47(1): 183-186.


Web Style

Nazir S, Raza A, Afsar S, Ali MF, Younus SM, Zeeshan QM. Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy. https://www.rmj.org.pk/?mno=96840 [Access: December 07, 2023].


AMA (American Medical Association) Style

Nazir S, Raza A, Afsar S, Ali MF, Younus SM, Zeeshan QM. Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy. RMJ. 2022; 47(1): 183-186.



Vancouver/ICMJE Style

Nazir S, Raza A, Afsar S, Ali MF, Younus SM, Zeeshan QM. Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy. RMJ. (2022), [cited December 07, 2023]; 47(1): 183-186.



Harvard Style

Nazir, S., Raza, . A., Afsar, . S., Ali, . M. F., Younus, . S. M. & Zeeshan, . Q. M. (2022) Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy. RMJ, 47 (1), 183-186.



Turabian Style

Nazir, Sadaf, Arif Raza, Sadia Afsar, Mohammad Faiq Ali, Syed Muneeb Younus, and Qazi Muhammad Zeeshan. 2022. Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy. Rawal Medical Journal, 47 (1), 183-186.



Chicago Style

Nazir, Sadaf, Arif Raza, Sadia Afsar, Mohammad Faiq Ali, Syed Muneeb Younus, and Qazi Muhammad Zeeshan. "Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy." Rawal Medical Journal 47 (2022), 183-186.



MLA (The Modern Language Association) Style

Nazir, Sadaf, Arif Raza, Sadia Afsar, Mohammad Faiq Ali, Syed Muneeb Younus, and Qazi Muhammad Zeeshan. "Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy." Rawal Medical Journal 47.1 (2022), 183-186. Print.



APA (American Psychological Association) Style

Nazir, S., Raza, . A., Afsar, . S., Ali, . M. F., Younus, . S. M. & Zeeshan, . Q. M. (2022) Clinical impact of the timing of the tracheostomy in patients undergoing decompression craniotomy. Rawal Medical Journal, 47 (1), 183-186.