EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

EARLY TRACHEOSTOMY FACILITATES EARLY WEANING FROM MECHANICAL VENTILATOR IN SEVERE TRAUMATIC BRAIN INJURY PATIENT

Abu Tahir Moh’d Sahidullah Monsur*, Md. Ashiqul Muhit Khan, A. K. M Bazlul Karim, Md. Arif Hasan, Dibakar Chaudhury and Riad Habib

ABSTRACT

Background: Severe traumatic brain injury (TBI) patients are constantly submitted to interventions to cope secondary injury and insults. Oxygen therapy is mostly initiated by endotracheal intubation at the scene of the accident. Due to the severity of the trauma, prolonged mechanical ventilation is expected and tracheostomy (TQT) is often indicated. TQT became one of the most common bedside surgical procedure performed in an Intensive Care Unit (ICU). Objective: To evaluate the early tracheostomy facilitates early weaning from mechanical ventilator in severe traumatic brain injury patient. Materials and Methods: It was a prospective clinical study conducted at Enam Medical College & Hospital, Savar, Bangladesh from 2017-2021. A total of 65 patients admitted with Severe Traumatic Brain Injury were enrolled in this study. Data were collected using a structured questionnaire containing all the variables of interest. Data was processed and analyzed with the help of computer program SPSS for windows version 25. Results: This study show majority were male (92.3%) and female (7.7%). Common mode of injury were road traffic accident (67.7%) then fall from height (16.9%) and physical assault (9.2%). It observed maximum GCS were 7/15 (33.8%) then GCS of 8/15 (26.2%) and GCS 6/15 (18.4%). Maximum (44.6%) duration in ventilator 2 days followed 40% were 1 day and 13.8% were 3 days. Majority (78.5%) were shift to neuro surgery ward. 12.3% had taken DORB, 7.7% were death. Conclusion: It concluded that Early Tracheostomy, with severe traumatic brain injury patients could help in reducing duration in mechanical ventilation, reduce ICU and hospital stay. Study suggested that early tracheostomy, less than 48 hour after intubation should be performed if clinical and neurological stabilization was achieved in patients with severe TBI.

Keywords: .


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database