[Prognostic criteria for tracheostomy in the neuroresuscitation unit]

The aim is to specify prognostic criteria for tracheostomy on the basis of long-term (more than 14 days) ALV and prolonged (more than 14 days) trachea canmulation.

Retrospectively were analyzed the medical history of 120 difficult patients with tracheostomy, who spent in ICU more than 72 hours. Was executed multiple logistic regression analysis.

In patients with consciousness level of 8 or less points on the Glasgow coma scale and subarachnoid hemorrhage, detected on CT scan of the brain, increases the chances for prolonged ALV versus patients without these signs in 3.93 times. In patients with constrained basal cisterns, detected on CT scan of the brain and to the consciousness level of 8 or less points on the Glasgow coma scale versus patients without these signs increases the chances of the prolonged trachea cannulation in 5 times.

Prognostic criteria for tracheostomy in patients in neuroresuscitation unit are: criteria for prolonged ALV: level of 8 or less points on the Glasgow coma scale and subarachnoid hemorrhage and criteria for prolonged trachea cannulation: constrained basal cisterns, detected on CT scan of the brain and to the consciousness level of 8 or less points on the Glasgow coma scale.