Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury
Abdelkader, H., Ramadan, E., Elgarhy, A. (2021). Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury. EKB Journal Management System, 3(4), 1772-1776. doi: 10.21608/ijma.2021.81116.1329
Hussein Magdy Abdelkader; Esmail H Ramadan; Ahmed M.M Elgarhy. "Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury". EKB Journal Management System, 3, 4, 2021, 1772-1776. doi: 10.21608/ijma.2021.81116.1329
Abdelkader, H., Ramadan, E., Elgarhy, A. (2021). 'Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury', EKB Journal Management System, 3(4), pp. 1772-1776. doi: 10.21608/ijma.2021.81116.1329
Abdelkader, H., Ramadan, E., Elgarhy, A. Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury. EKB Journal Management System, 2021; 3(4): 1772-1776. doi: 10.21608/ijma.2021.81116.1329

Comparative Study between Early Tracheostomy and Extended Endotracheal Intubation in Severe Head Injury

International Journal of Medical Arts
Article 2, Volume 3, Issue 4, October 2021, Page 1772-1776  XML PDF (1.22 MB)
Document Type: Original Article
DOI: 10.21608/ijma.2021.81116.1329
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Authors
Hussein Magdy Abdelkader email orcid 1; Esmail H Ramadan2; Ahmed M.M Elgarhy3
1Department of Otorhinolaryngology, Faculty of Medicine, Al-Azhar University, Assiut, Egypt
2Consultant of General Surgery, El Haram hospital, Giza, Egypt
3Department of Anaesthesia and Intensive Care Unit, Faculty of Medicine, Al-Azhar University, Egypt
Abstract
Background: The optimal tracheostomy time is considered a debatable issue for patients with severe Head injury in intensive care units [ICUs], which require mechanical ventilation [MV] for long period.
The aim of the work: The current study aimed to investigate the effect of tracheostomy operation in early few days of admission on the length of mechanical ventilation [MV]. In addition, to determine outcomes and associated mortality rate.
Patients and Methods: a prospective randomized Comparative clinical study included 200 patients admitted to ICU units of Al-Azhar university hospitals and El Haram hospital who had the following criteria: severe head injury, Cerebral trauma on and Glasgow Coma Scale [GCS] score 8 or less on the fourth day viewed by brain CT scan done without given any sedation. Divided into 2 groups on the fourth day of admission each group includes 100 patients, one group submitted to early Tracheostomy [ET] [group A] and the other group submitted to extended endotracheal intubation [EEI] [Group B].
Results: There was shorter in the main period of the mechanical ventilatory support for group A than group B with statistically significant relationship p value=0.02.Their no remarkable difference in the occurrence of Nosocomial pneumonia between group A and group B. p value of Nosocomial pneumonia = 0.62.
Conclusion: In severe head injury, ET significantly decreases the mechanical ventilation time.  
Keywords
Endotracheal Intubation; Tracheostomy; Complications of Tracheostomy; Severe Head Injury; Mechanical Ventilation
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