J95.8 A41.9
Conditions
Interventions
Group 1: Early percutaneos tracheotomy in mechanicaly ventilated patients (in first 48-96 hours of mechanical ventilation)
Group 2: Late percutaneos tracheotomy in mechanicaly ventilated patients (aft
Sponsors
Sveucilišna klinicka bolnica MostarSpecialist of anesthesiology and reanimatology. Head of Department of anesthesiology, reanimatology and intensive care
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: The basic criterion for the inclusion in the research was the expected duration of mechanical ventilation for at least 14 days based on the diagnosis of patients sequential organ failure assessment (SOFA) score >5, acute physiology and chronic health evaluation (APACHE II) scores >10, arterial oxygen partial pressure (PaO2) =60 mmHg with fraction of inspired oxygen (FiO2) 0.5 and positive end expiratory pressure (PEEP) of at least 8 cm H2O.
Exclusion criteria
Exclusion criteria: Patients under 18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is number of patients with aquired pneumonia that are mechanically ventilated who are going to be diagnosed based on clinical criteria (CRP value, microbiological analysis of material taken during brochoscopy, Chest x-ray, body temperature) | — |
Secondary
| Measure | Time frame |
|---|---|
| Septic episodes were diagnosed based on: clinical symptoms, laboratory results, hemodynamic parameters and microbiological analysis in accordance with the usual clinical practice, as well as on the established criteria for the diagnosis of sepsis: temperature >38 °C or 90 beats per minute, respiratory rate >20 breaths per minute, abnormal white blood cell count >12,000/mm3 or 10% bands, occurrence of hypoperfusion, hypotension and oliguria (12). | — |
Countries
Bosnia & Herzegovina
Contacts
Public ContactMirko Mihalj
Resident of anesthesiology amd reanimatology
Outcome results
None listed