International Journal of Advanced and Integrated Medical Sciences

Register      Login

VOLUME 3 , ISSUE 1 ( March, 2018 ) > List of Articles


Is Early Tracheostomy Beneficial in Severe Head Injury Patients?

Anuj K Tripathi, Harvesh Kumar

Keywords : Intensive care unit stays, Tracheostomy, Ventilatorinduced pneumonia

Citation Information : Tripathi AK, Kumar H. Is Early Tracheostomy Beneficial in Severe Head Injury Patients?. Int J Adv Integ Med Sci 2018; 3 (1):16-17.

DOI: 10.5005/jp-journals-10050-10114

License: CC BY-SA 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


The debate of early vs late tracheostomy is far from settled. This study reveals that early tracheotomy is associated with higher tracheotomy rates and better outcomes, including more ventilator-free days, shorter intensive care unit (ICU) stays, less sedation, ventilator-induced pneumonia, and reduced long-term mortality compared with late tracheostomy.

PDF Share
  1. Johnson SB, Kearney PA, Barker DE. Early criteria predictive of prolonged mechanical ventilation. J Trauma 1992 Jul;33(1):95-100.
  2. Rumbak MJ, Newton M, Truncale T, Schwartz SW, Adams JW, Hazard PB. A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med 2004 Aug;32(8):1689-1694.
  3. Terragni PP, Antonelli M, Fumagalli R, Faggiano C, Berardino M, Pallavicini FB, Miletto A, Mangione S, Sinardi AU, Pastorelli M, et al. Early vs late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trial. JAMA 2010 Apr; 303(15):1483-1489.
  4. Shan L, Zhang R, Li LD. Effect of timing of tracheotomy on clinical outcomes: an update meta-analysis including 11 trials. Chin Med Sci J 2013 Sep;28(3):159-166.
  5. Scales DC, Thiruchelvam D, Kiss A, Redelmeier DA. The effect of tracheostomy timing during critical illness on longterm survival. Crit Care Med 2008 Sep;36(9):2547-2557.
  6. Young D, Harrison DA, Cuthbertson BH, Rowan K; TracMan Collaborators. Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: the TracMan randomized trial. JAMA 2013 May;309(20):2121-2129.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.