Analysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care unit
dc.contributor.buuauthor | Kocaeli, Hasan | |
dc.contributor.buuauthor | Korfali, Ender | |
dc.contributor.buuauthor | Taşkapilioğlu, Özgür | |
dc.contributor.buuauthor | Özcan, Tekin | |
dc.contributor.department | Uludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı. | tr_TR |
dc.contributor.researcherid | V-1196-2018 | tr_TR |
dc.contributor.scopusid | 6603500567 | tr_TR |
dc.contributor.scopusid | 7004641343 | tr_TR |
dc.contributor.scopusid | 6506852772 | tr_TR |
dc.contributor.scopusid | 25636374000 | tr_TR |
dc.date.accessioned | 2022-03-08T08:52:00Z | |
dc.date.available | 2022-03-08T08:52:00Z | |
dc.date.issued | 2008-12 | |
dc.description.abstract | Background 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.citation | Kocaeli, 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.endpage | 1267 | tr_TR |
dc.identifier.issn | 0001-6268 | |
dc.identifier.issue | 12 | tr_TR |
dc.identifier.pubmed | 19002373 | tr_TR |
dc.identifier.scopus | 2-s2.0-57349165332 | tr_TR |
dc.identifier.startpage | 1263 | tr_TR |
dc.identifier.uri | https://doi.org/10.1007/s00701-008-0153-9 | |
dc.identifier.uri | https://link.springer.com/article/10.1007/s00701-008-0153-9 | |
dc.identifier.uri | http://hdl.handle.net/11452/24904 | |
dc.identifier.volume | 150 | tr_TR |
dc.identifier.wos | 000261590000007 | tr_TR |
dc.indexed.pubmed | Pubmed | en_US |
dc.indexed.scopus | Scopus | en_US |
dc.indexed.wos | SCIE | en_US |
dc.language.iso | en | en_US |
dc.publisher | Springer | en_US |
dc.relation.journal | Acta Neurochirurgica | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | tr_TR |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Griggs system | en_US |
dc.subject | Intracranial pressure monitoring | en_US |
dc.subject | Neurointensive care unit | en_US |
dc.subject | Percutaneous tracheostomy | en_US |
dc.subject | Neurosurgical patients | en_US |
dc.subject | Dilatational tracheostomy | en_US |
dc.subject | Tracheotomy | en_US |
dc.subject | Injury | en_US |
dc.subject.emtree | Adolescent | en_US |
dc.subject.emtree | Adult | en_US |
dc.subject.emtree | Aged | en_US |
dc.subject.emtree | Arterial gas | en_US |
dc.subject.emtree | Arterial pressure | en_US |
dc.subject.emtree | Article | en_US |
dc.subject.emtree | Brain hematoma | en_US |
dc.subject.emtree | Brain tumor | en_US |
dc.subject.emtree | Cannulation | en_US |
dc.subject.emtree | Clinical article | en_US |
dc.subject.emtree | Female | en_US |
dc.subject.emtree | Glasgow coma scale | en_US |
dc.subject.emtree | Griggs system | en_US |
dc.subject.emtree | Head injury | en_US |
dc.subject.emtree | Heart rate | en_US |
dc.subject.emtree | Human | en_US |
dc.subject.emtree | Intensive care | en_US |
dc.subject.emtree | Intracranial pressure monitoring | en_US |
dc.subject.emtree | Male | en_US |
dc.subject.emtree | Mortality | en_US |
dc.subject.emtree | Oxygen saturation | en_US |
dc.subject.emtree | Pneumonia | en_US |
dc.subject.emtree | Priority journal | en_US |
dc.subject.emtree | Secondary prevention | en_US |
dc.subject.emtree | Subarachnoid hemorrhage | en_US |
dc.subject.emtree | Tracheostomy | en_US |
dc.subject.mesh | Adolescent | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Anoxia | en_US |
dc.subject.mesh | Brain injuries | en_US |
dc.subject.mesh | Clinical protocols | en_US |
dc.subject.mesh | Coma, post-head ,injury | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Glasgow coma scale | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Hypercapnia | en_US |
dc.subject.mesh | Hypertension | en_US |
dc.subject.mesh | Intensive care units | en_US |
dc.subject.mesh | Intracranial Hypertension | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle aged | en_US |
dc.subject.mesh | Postoperative complications | en_US |
dc.subject.mesh | Respiration, artificial | en_US |
dc.subject.mesh | Respiratory insufficiency | en_US |
dc.subject.mesh | Risk assessment | en_US |
dc.subject.mesh | Time factors | en_US |
dc.subject.mesh | Tracheostomy | en_US |
dc.subject.mesh | Treatment outcome | en_US |
dc.subject.mesh | Young adult | en_US |
dc.subject.scopus | Sleep Apnea Syndromes; Polysomnography; Positive End Expiratory Pressure | en_US |
dc.subject.wos | Clinical neurology | en_US |
dc.subject.wos | Surgery | en_US |
dc.title | Analysis of intracranial pressure changes during early versus late percutaneous tracheostomy in a neuro-intensive care unit | en_US |
dc.type | Article | |
dc.wos.quartile | Q3 (Clinical neurology) | en_US |
dc.wos.quartile | Q2 (Surgery) | en_US |
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