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Effectiveness of Minitracheostomy After Extubation in Patients with Pneumonia at High Risk of Reintubation: A Case Series

The Journal of Critical Care Medicine
Volume 9 (2023): Issue 4 (October 2023)
By:
Open Access
|Nov 2023

Figures & Tables

Fig. 1.

The minitracheostomy kit.
The minitracheostomy kit.

Fig. 2

Flowchart of patient inclusion in the study. Thirty-one patients with pneumonia were selected from 46 patients who underwent minitracheostomy at our institution between April 2013 and December 2017. Ten patients required tracheostomy. Eight patients did not require intubation, tracheostomy, or minitracheostomy.
Flowchart of patient inclusion in the study. Thirty-one patients with pneumonia were selected from 46 patients who underwent minitracheostomy at our institution between April 2013 and December 2017. Ten patients required tracheostomy. Eight patients did not require intubation, tracheostomy, or minitracheostomy.

Demographic and clinical characteristics of the patients

Overall n=31Successful extubation n=22Reintubation n=9
Age, years, median (IQR)79 (67–84)76.5 (64.8–84.5)80 (71.5–85)
Male, n(%)25 (80.6)21 (95.5)4 (44.4)
APACHE II score, median (IQR)19 (17–24)18 (16–23.3)19 (18–28)
SOFA score, median (IQR)9 (7–11)9.5 (7–11.3)7 (5.5–11)
CURB-65 score, median (IQR)3 (2–4)3 (3–4)3 (2–3.5)
MV duration, median (IQR)6 (5–10)6 (4–10)7 (5.5–10)
Suctions within 24 hours before extubation, median (IQR)10 (7–12)10 (7.8–12)10 (6.5–12)

Patient outcomes

Overall n=31Successful extubation n=22Reintubation n=9
30-day mortality, n (%)6 (19.4)4 (18.2)2 (22.2)
ICU length of stay, days, median (IQR)11 (9–15)11 (8–14.3)14 (11–18.5)
Hospital length of stay, days, median (IQR)26 (16–40)23 (15.5–41)30 (16–45.5)
Tracheostomy, n (%)10 (32.3)4 (18.2)6 (66.7)
DOI: https://doi.org/10.2478/jccm-2023-0029 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
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Language: English
Page range: 271 - 276
Submitted on: Feb 9, 2023
Accepted on: Oct 2, 2023
Published on: Nov 14, 2023
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year
Keywords:
airway extubation,
ventilator weaning,
tracheostomy,
sputum,
pneumonia
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Internal medicine, other,
Surgery,
Surgery, other,
Anaesthesiology,
Emergency medicine and intensive-care medicine

© 2023 Akira Ouchi, Yuji Takahashi, Hidehiko Nakano, Masaki Mochizuki, Saiko Okamoto, Hideaki Sakuramoto, Kensuke Nakamura, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.

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