A Study of Role of Immediate Tracheostomy in Critically Ill Adult Patients in an Icu of Tertiary Hospital of Andhra Pradesh

Abstract

BACKGROUNDTracheostomy is done in patients with compromised airway to simplify its long term effects on the outcome of the underlying disease. Indications of tracheostomy have not changed but its timing has been shown to have definite effect on the outcome of the underlying disease. In most of the ICU setups, immediate intubation tides over the crisis of airway obstruction and tracheostomy is done electively when the underlying disease seems to be far from recovery.To compare the differences between immediate and elective tracheostomy irrespective of the underlying disease in terms of Ventilator Support Duration (VSD), ICU stay (ICUS), Total Hospital stay (THS), incidence of pulmonary complications (PC) and Final Hospital outcome (FHO).