Meier, Johannes and Wunschel, Michael and Angermann, Anne and Ettl, Tobias and Metterlein, Thomas and Klingelhoeffer, Christoph and Reichert, Torsten E. and Ritzka, Markus (2019) Influence of early elective tracheostomy on the incidence of postoperative complications in patients undergoing head and neck surgery. BMC ANESTHESIOLOGY, 19: 43. ISSN 1471-2253,
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Background: The incidence of postoperative complications after head and neck surgery is high. This study evaluated the influence of early elective tracheostomy on the incidence of postoperative pneumonia and delirium. Methods: We reviewed the data of all patients who had undergone removal of an oropharyngeal tumor and microsurgical tissue transfer at our department in a two year period. Pearson's Chi-squared test and the Fischer's exact t-test were then used to measure the influence of patients' preexisting conditions and risk factors and of early elective tracheostomy on the incidence of postoperative complications. Results: In total, 47 cases were analyzed. Patients with an endotracheal tube were ventilated for a longer time (3.4 days vs. 1.5 days) and were transferred to the regular ward later (after 6.9 days vs. 4.7 days) than patients with tracheostomy. Only 1 (2.1%) of the patients with a tracheostomy developed pneumonia in contrast to 5 intubated patients (10.6%) and only 2 patients with a tracheostomy developed postoperative delirium (9.5%) in contrast to 8 intubated patients (30.8%). Conclusion: Early primary tracheostomy in patients undergoing resection of oropharyngeal cancer seems to have numerous benefits, such as lower complication rates with regard to pneumonia and postoperative delirium and shorter duration of both mechanical ventilation and intensive care unit (ICU) stays. Further studies have to evaluate if these benefits also influence morbidity and mortality rates.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RISK-FACTORS; PULMONARY COMPLICATIONS; ORAL-CAVITY; DELIRIUM; CANCER; MANAGEMENT; AGITATION; DIAGNOSIS; PAIN; Airway; Head and neck surgery; Tracheostomy; Delirium; Pneumonia |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 15 Apr 2020 10:35 |
| Last Modified: | 15 Apr 2020 10:35 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27331 |
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