The role of early tracheostomy in blunt, multiple organ trauma

I. Lesnik, W. Rappaport, J. Fulginiti, D. Witzke

Research output: Contribution to journalArticle

123 Scopus citations

Abstract

During a 9-year period, 101 patients sustaining blunt, multiple organ injury underwent tracheostomy. Group I consisted of 32 patients who underwent tracheostomy within the first 4 days of injury (early tracheostomy) and Group II comprised 69 patients who underwent tracheostomy more than 4 days after surgery (late tracheostomy). There was no statistical difference between the two groups in terms of age, Injury Severity Score, Glasgow Coma Score, and associated injuries. The mean time of mechanical ventilatory support was 6.0 ± 3.4 days in Group I as compared to 20.6 ± 12.2 days in Group II (P < 0.001). Early weaning from the ventilator was accomplished in 32 (100%) patients who underwent early tracheostomy versus 43 (62%) of those who underwent late tracheostomy (P < 0.001). Finally, the incidence of nosocomial pneumonias was also significantly less in patients undergoing early tracheostomy. There were three nonlethal complications associated with tracheostomy. The authors conclude that early tracheostomy helps in early weaning from the ventilator and reduces the incidence of nosocomial pneumonias and time of mechanical ventilatory support in patients with blunt, multiple organ injury.

Original languageEnglish (US)
Pages (from-to)346-349
Number of pages4
JournalAmerican Surgeon
Volume58
Issue number6
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Surgery

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    Lesnik, I., Rappaport, W., Fulginiti, J., & Witzke, D. (1992). The role of early tracheostomy in blunt, multiple organ trauma. American Surgeon, 58(6), 346-349.