Health Condition 1: S06- Intracranial injury
Conditions
Interventions
Intervention1: Early tracheostomy: Tracheostomy on Day 3(72hrs-96hrs) of mechanical
ventilation.
Control Intervention1: Late Tracheostomy: Tracheostomy on Day 5(120hrs-144hr) of mechanical
ventilation
Sponsors
AIIMS Patna
Eligibility
Inclusion criteria
Inclusion criteria: Those who will give consent for the study. Consent will be obtained from the legally authorized representative or next of kin. Isolated severe head injury. GCS less than 8. Patient requiring prolonged ventilator support more than 72 hours in view of demonstrable traumatic brain injury on CT head.
Exclusion criteria
Exclusion criteria: Polytrauma with major chest/abdominal injuries. Patients with cervical spine injury. Patient with known coagulopathy. Those who don t give consent for this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the duration of mechanical ventilation between early and late tracheostomy groups. Timepoint: Baseline: At enrollment / at ICU admission before tracheostomy During ICU stay: Daily assessment until ICU discharge or death | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the incidence of ventilator-associated pneumonia (VAP)Timepoint: Baseline: At enrollment / at ICU admission before tracheostomy During ICU stay: Daily assessment until ICU discharge or death ;To assess ICU & hospital length of stayTimepoint: Day when patient is stepped down from ICU care & transferred to the ward At discharge: At hospital discharge;To compare Glasgow Outcome Scale (GOS) at dischargeTimepoint: At hospital discharge day;tracheostomy-related complicationsTimepoint: Daily assessment until discharge or death;To assess 30-day mortalityTimepoint: On the day of death if within 30days of needing mechanical ventilation. | — |
Countries
India
Contacts
Public ContactDr Alan Joseph Abraham
AIIMS Patna
Outcome results
None listed