Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Early tracheostomy in trauma patients

Y Kluger1, D B Paul, J Lucke

  • 1Trauma Center, Tel Aviv Sourasky Medical Center, Israel.

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|June 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Non-hormonal treatments for managing vulvovaginal atrophy/genitourinary syndrome of menopause.

Climacteric : the journal of the International Menopause Society·2023
Same author

The Added Value of Technetium-99 m Sestamibi Scan in Patients with Primary Hyperparathyroidism and Positive Ultrasound.

World journal of surgery·2021
Same author

Rapid Cancer Diagnosis and Early Prognosis of Metastatic Risk Based on Mechanical Invasiveness of Sampled Cells.

Annals of biomedical engineering·2020
Same author

Cause of intrauterine and neonatal death in twin pregnancies (CoDiT): development of a novel classification system.

BJOG : an international journal of obstetrics and gynaecology·2020
Same author

The mad leading the blind: Perceptions of the vaccine-refusal movement among Australians who support vaccination.

Vaccine·2019
Same author

Vulvovaginal atrophy in women after cancer.

Climacteric : the journal of the International Menopause Society·2019

Early tracheostomy in trauma patients may reduce pneumonia and septic complications. This study found fewer pulmonary issues with early airway management, offering significant benefits in intensive care settings.

Area of Science:

  • Critical Care Medicine
  • Trauma Surgery
  • Respiratory Therapy

Background:

  • Tracheostomy is a common procedure for airway and pulmonary management in trauma patients.
  • The optimal timing for tracheostomy in trauma care remains a subject of investigation.
  • Pulmonary complications, such as pneumonia, are significant concerns in critically ill trauma patients.

Purpose of the Study:

  • To evaluate the impact of tracheostomy timing on pulmonary complications in trauma patients.
  • To compare the incidence of pneumonia between early, intermediate, and late tracheostomy groups.
  • To assess the relationship between early tracheostomy and pulmonary septic complications.

Main Methods:

  • Retrospective analysis of 118 trauma patients who underwent tracheostomy.

Related Experiment Videos

  • Classification of tracheostomy timing into early (0-3 days), intermediate (4-7 days), and late (>7 days).
  • Evaluation of aspiration using a modified bedside aspiration test and assessment of pneumonia incidence.

    • Main Results:

    • Head injury patients received tracheostomy significantly earlier (p < 0.00003).
    • Pneumonia incidence was significantly lower in the early tracheostomy group compared to intermediate and late groups (p < 0.0034).
    • No significant difference in pneumonia rates was observed between the early tracheostomy group and early extubated patients (p < 0.23).

    Conclusions:

    • Early tracheostomy (0-3 days) may decrease pulmonary septic complications in trauma patients.
    • While not affecting length of stay, early tracheostomy can prevent costly intensive care unit pneumonia.
    • Timely tracheostomy is a valuable strategy for improving pulmonary outcomes in trauma management.