Analysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care unit

dc.contributor.buuauthorKocaeli, Hasan
dc.contributor.buuauthorKorfali, Ender
dc.contributor.buuauthorTaşkapilioğlu, Özgür
dc.contributor.buuauthorÖzcan, Tekin
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı.tr_TR
dc.contributor.researcheridV-1196-2018tr_TR
dc.contributor.scopusid6603500567tr_TR
dc.contributor.scopusid7004641343tr_TR
dc.contributor.scopusid6506852772tr_TR
dc.contributor.scopusid25636374000tr_TR
dc.date.accessioned2022-03-08T08:52:00Z
dc.date.available2022-03-08T08:52:00Z
dc.date.issued2008-12
dc.description.abstractBackground We aimed to investigate intracranial pressure (ICP) changes during early versus late bedside percutaneous tracheostomy (PT) in a neuro-intensive care unit (NICU). Methods This study included 30 patients admitted to our NICU for head trauma, subarachnoid haemorrhage, intracerebral haematoma or brain tumour with a Glasgow Coma Score (GCS) less than 8. These patients also underwent ICP monitoring. Bedside PT was performed either early (within 7 days of ventilation) or late (after 7 days of ventilation) via the Griggs system. In all patients; ICP, systemic blood pressure, heart rate, oxygen saturation (Sat O(2)) and arterial blood gases were recorded 5 min before the procedure, during skin incision, during tracheal cannulation, as well as 5 min and 10 min after the procedure. Findings Thirty patients, 18 male and 12 female, with various intracranial pathologies between ages 18 and 78 (mean 38.7 +/- 20) were identified. The admission GCS ranged between 4 and 11 (median 7). Physiological variables did not differ significantly between the two groups. In the early group, ICP values measured 5 min before the procedure, during skin incision, during tracheal cannulation, as well as 5 min and 10 min after the procedure were 15.1 +/- 5.2, 22 +/- 10.1, 28.4 +/- 13.7, 17.3 +/- 7.1, 13.8 +/- 5.0 mmHg, respectively. In the late group, these values were 14.2 +/- 4.5, 17.2 +/- 5.5, 21.5 +/- 8.0, 15.1 +/- 5.3 and 12.4 +/- 4.1 mmHg. There was no significant difference between the early or late groups in terms of ICP increases during these predetermined 5 time points. Conclusions In patients with decreased intracranial compliance, a relatively minimally invasive procedure such as PT may lead to significant increases in ICP. The timing of PT does not seem to influence ICP, mortality, pneumonia or early complications. During the PT procedure, ICP should be closely monitored and preventive strategies should be instituted in an attempt to prevent secondary insult to an already severely injured brain.en_US
dc.identifier.citationKocaeli, H. vd. (2008). ''Analysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care unit''. Acta Neurochirurgica, 150(12), 1263-1267.en_US
dc.identifier.endpage1267tr_TR
dc.identifier.issn0001-6268
dc.identifier.issue12tr_TR
dc.identifier.pubmed19002373tr_TR
dc.identifier.scopus2-s2.0-57349165332tr_TR
dc.identifier.startpage1263tr_TR
dc.identifier.urihttps://doi.org/10.1007/s00701-008-0153-9
dc.identifier.urihttps://link.springer.com/article/10.1007/s00701-008-0153-9
dc.identifier.urihttp://hdl.handle.net/11452/24904
dc.identifier.volume150tr_TR
dc.identifier.wos000261590000007tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.journalActa Neurochirurgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGriggs systemen_US
dc.subjectIntracranial pressure monitoringen_US
dc.subjectNeurointensive care uniten_US
dc.subjectPercutaneous tracheostomyen_US
dc.subjectNeurosurgical patientsen_US
dc.subjectDilatational tracheostomyen_US
dc.subjectTracheotomyen_US
dc.subjectInjuryen_US
dc.subject.emtreeAdolescenten_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArterial gasen_US
dc.subject.emtreeArterial pressureen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeBrain hematomaen_US
dc.subject.emtreeBrain tumoren_US
dc.subject.emtreeCannulationen_US
dc.subject.emtreeClinical articleen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeGlasgow coma scaleen_US
dc.subject.emtreeGriggs systemen_US
dc.subject.emtreeHead injuryen_US
dc.subject.emtreeHeart rateen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeIntensive careen_US
dc.subject.emtreeIntracranial pressure monitoringen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMortalityen_US
dc.subject.emtreeOxygen saturationen_US
dc.subject.emtreePneumoniaen_US
dc.subject.emtreePriority journalen_US
dc.subject.emtreeSecondary preventionen_US
dc.subject.emtreeSubarachnoid hemorrhageen_US
dc.subject.emtreeTracheostomyen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAnoxiaen_US
dc.subject.meshBrain injuriesen_US
dc.subject.meshClinical protocolsen_US
dc.subject.meshComa, post-head ,injuryen_US
dc.subject.meshFemaleen_US
dc.subject.meshGlasgow coma scaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHypercapniaen_US
dc.subject.meshHypertensionen_US
dc.subject.meshIntensive care unitsen_US
dc.subject.meshIntracranial Hypertensionen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshPostoperative complicationsen_US
dc.subject.meshRespiration, artificialen_US
dc.subject.meshRespiratory insufficiencyen_US
dc.subject.meshRisk assessmenten_US
dc.subject.meshTime factorsen_US
dc.subject.meshTracheostomyen_US
dc.subject.meshTreatment outcomeen_US
dc.subject.meshYoung adulten_US
dc.subject.scopusSleep Apnea Syndromes; Polysomnography; Positive End Expiratory Pressureen_US
dc.subject.wosClinical neurologyen_US
dc.subject.wosSurgeryen_US
dc.titleAnalysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care uniten_US
dc.typeArticle
dc.wos.quartileQ3 (Clinical neurology)en_US
dc.wos.quartileQ2 (Surgery)en_US

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