Objective indications for early tracheostomy after blunt head trauma - 26/08/11
Abstract |
Background |
Early tracheostomy has been shown to be beneficial after trauma; however, there are few objective data to identify early in the recovery period which patients will ultimately require tracheostomy after blunt head trauma.
Methods |
The charts of all patients admitted to the surgical intensive care unit intubated at a level 1 urban trauma center, over a 5-year period with a primary admission diagnosis of blunt head trauma were retrospectively reviewed.
Results |
Sixty-four patients met inclusion and exclusion criteria and were divided into two groups: those extubated and those that required tracheostomy. By day 3 the Glasgow Coma Scores for the two groups were significantly different and on day 4 the Simplified Acute Physiology (SAPS) Scores were significantly different.
Conclusions |
Calculating objective scores such as GCS and SAPS can aid in identifying those patients who will ultimately require a tracheostomy for prolonged airway protection after blunt head trauma with high positive predictive value.
Le texte complet de cet article est disponible en PDF.Keywords : Indications, Early tracheostomy
Plan
Vol 186 - N° 6
P. 615-619 - décembre 2003 Retour au numéro
Article précédent
- The benefit of routine thoracic, abdominal, and pelvic computed tomography to evaluate trauma patients with closed head injuries
- Michael L Self, Anna-Maria Blake, Macy Whitley, Leonard Nadalo, Ernest Dunn
- Surgical management of traumatic pulmonary injury
- Joseph Huh, Matthew J Wall, Anthony L Estrera, Ernesto R Soltero, Kenneth L Mattox
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