Arrona PJC, Ocegueda PC, Chávez PCE, Muñoz RMR, Sánchez NVM

Language: Spanish
References: 8
Page: 16-19
PDF size: 232.94 Kb.

ABSTRACT

Introduction: The early use of tracheostomy has increased in recent years in order to reduce the deleterious effects caused by the prolonged intubation. Analyze the risk of infection in early versus late tracheostomy.
Material and methods: Patients from January 1, 2012 to June 30, 2013 on mechanical ventilation for more than 48 hours and who underwent tracheostomy. We classified them early when they were performed 14 days or less, and late after this date. It was confirmed with the Epidemiological Surveillance Unit if a microorganism was isolated in bronchial secretion during this period documenting as ventilator-associated pneumonia.
Results: We performed 42 tracheostomies, 30 early and 12 late. Seven infections were documented, mostly in the early group (6) and only one in the late.
Discussion and conclusions: No significant difference in the risk of infection but persists a tendency to ventilator-associated pneumonia in the early tracheostomy group. The procedures were performed in the operating room, and the literature referred to as early tracheostomies are «at the bedside», or percutaneous. Would be useful to compare the early and late tracheostomy and surgical technique used as a risk factor.

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