EVALUATING THE RESULTS OF TRACHEOSTOMY IN PATIENTS WITH VENTILATOR ASSOCIATED PNEUMONIA AT CAN THO GENERAL HOSPITAL IN 2019-2021
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Abstract
Background: Object patients with ventilator associated pneumonia are often severe patients who need prolonged mechanical ventilation. Many studies have shown that tracheostomy facilitates easier weaning from ventilatory support. To learn do patients with ventilator associated pneumonia benefit from tracheostomy? We conducted a topic to evaluate the results of tracheostomy in patients with ventilator associated pneumonia at Can Tho General Hospital in 2019-2021. Objectives: Survey on some clinical characteristics and evaluate the results of tracheostomy in patients with ventilator associated pneumonia. Materials and methods: To descriptive prospective and clinical interventional study on 60 patients with ventilator associated pneumonia from 03/2019 to 03/2021. Results: Hlegm properties of patients before surgery: Clear 1.7%, cloudy 26.7%, purulent 71.7%. Time of preoperative mechanical 15.5 ± 9.71 days. Bleeding at surgery 11.7%. The most common postoperative complication is tracheostomy tube leg infection 55%. Results after tracheostomy good 31.7%, average 30% and bad 38.3%. The rate of purulent phlegm after surgery on the first day decreased by 23.4%, the third day decreased by 31.7% and the seventh day decreased by 41.7% compared to before surgery. Conclusion: Tracheostomy leads to better airway care and improvement of pulmonary ventilation in patients with ventilator associated pneumonia.
Keywords
Tracheostomy, mechanical ventilation, ventilator associated pneumonia
Article Details
References
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