Tracheostomy in the ICU: hope or delusion?
Clin. biomed. res
; 39(1)2019.
Article
in English
| LILACS
| ID: biblio-1026201
Responsible library:
BR18.1
ABSTRACT
Introduction:
Current literature suggests that tracheostomy has no impact on survival in unselected intensive care unit (ICU) patients, and that it actually transfers mortality from ICU to the ward.Methods:
Data from 71 adult subjects who underwent tracheostomy as part of their ICU management and were subsequently transferred to the ward were obtained retrospectively.Results:
During 2015, 104 subjects received tracheostomy. Thirty-two died during their initial ICU admission (30.4%) and were excluded from analysis. Of the remaining 73 individuals, 28 died (38.3%) in hospital. Most common diagnoses were sepsis (33.8%) and neurological emergencies (23.9%). Life-sustaining treatments were withheld or withdrawn in 25 decedents. Seven subjects died in later hospitalizations at our institution over the period recorded.Conclusions:
Tracheostomy may represent a burden after ICU discharge, involving high resource use and low survival rate. Efforts should be made to recognize patients who might clearly benefit from this technique to avoid unwanted prolonged mechanical ventilation. (AU)
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Tracheostomy
/
Critical Illness
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Clin. biomed. res
Journal subject:
Medicine
Year:
2019
Document type:
Article
Affiliation country:
Brazil
/
Spain
Institution/Affiliation country:
Hospital Santa Ana/BR
/
Hospital de Clínicas de Porto Alegre (HCPA)/BR