Complications and timing of tracheotomy after neurosurgical operation
WU Yuan-xing
WANG Yu-mei
HAO Jing-jing
WANG Qiang
Abstract：Objective To investigate the incidence of complications and timing of tracheotomy in the patients after neurosurgery. Methods A retrospective analysis of 226 patients, who stayed for more than 24 hours in Intensive Care Unit (ICU) after the neurosurgical operation from August, 2012 to August, 2013 was performed. The factors related to the artificial airway were analyzed. Results Of these 266 patients, 209 patients received simple endotracheal intubation and 57 tracheotomy. The incidence of pulmonary infection in the patients with endotracheal intubation was significantly lower than that in the patients with tracheotomy (P＜0.05). There were insignificant differences in the average age, duration of ICU stay, GCS scores, the time of mechanical ventilation and the incidence of pneumonia between the patients who underwent early tracheostomy (intubation duration before the tracheotomy≤7 days, n=38) and the patients late underwent tracheostomy (intubation duration before the tracheotomy ＞7 days, n=16; P＞0.05). Conclusion With the improvement of endotracheal intubation and nursing level, whether the patient need early tracheotomy, even the so-called late tracheotomy after the neurosurgical operation should be comprehensively considered according to the patient's condition in order to make the best decisions for patient.
Keywords：Neurosurgical operationTracheotomyEndotracheal intubationComplication
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 413-415 )