Volume 29, Issue 5, 2020
DOI: 10.24205/03276716.2020.1170
Tracheotomy and high flow oxygen intake in severe patients
Abstract
Objective: Purpose of this study is to find out the effects of tracheotomy in patients who are severely ill and if it has any different consequences in patients who are in ICU regarding their recovery procedure.
Method: 350 patients who were already in ICUs were chosen for this study. The patients were severely sick adults and who had issues in breathing. The purpose was to see if tracheotomy will result in early discharge and improved breathing in the sick adults. The data was taken in hospitals across in china and it was made sure that their consent has been taken for the experiment and the data was kept confidential and to be remained for the study purpose. The patients were divided into two groups i.e. control group and intervention group. The trial was kept blinded and patients assigned into control group had to undergo 24 hours intermittent high flow oxygen whereas on the other hand, patients assigned into intervention had to undergo 24 hours high flow of continuous oxygen therapy alongside with frequency of suctioning was held the indicator for the readiness for decannulation. Primary and secondary outcomes were kept in mind out from this trial. In primary outcome the time of decannulation was compared by means of log-rank test and the secondary outcome included multiple organ failure, decannulation failure, respiratory infections, weaning failure, sepsis, duration of stay in hospital as well as ICU and deaths.
Results: during this study 350 patients were involved and the mean/SD *(Standard Deviation) age of the patients was 58.3+15.1 years, whereas 68.2% of the patients were women. In intervention group, 200 patients were assigned and in control group 150 patients were assigned. The time for decannulation was shorter in intervention group as compared to the control group. Also, the incidents of pneumonia and other infections such as tracheobronchitis was lower as well as the stay of patients in hospital was also found lower in the intervention group as compared to control group. It means that high flow of continuous oxygen through tracheostomy results beneficial in severe ill people and can result in improved and better treatment as compared to people with intermittent high flow of oxygen.
Conclusion: Based on the results from this study, it has been concluded that decannulation on suctioning frequency alongside with 24 hours continuous high flow oxygen therapy as per the intervention group, its highly beneficial for patients to undergo it rather than being introduced to 24 hours intermittent high flow oxygen therapy.
Keywords
ICU, tracheotomy, high flow oxygen therapy