EARLY VERSUS LATE TRACHEOSTOMY IN CRITICALLY-ILL
STROKE PATIENTS: ABOUT 55 PATIENTS

Rachid Seddiki1, Youssef Qamouss1, Mohamed Boughalem1, Hicham Baizri2.
Page No. 34-37

The aim of this study was to clarify the effect of early tracheostomy performed before the seventh
day of endotracheal intubation on the future of patients with severe strok to its acute phase
regarding weaning from mechanical ventilation, incidence of nosocomial pneumonia and the
intensive care stay.This is a retrospective study of 55 patients with severe stroke patients in acute
phase of complicatedof consciousnessalteration. These patients were divided into two groups: the
group1, or early tracheotomy group where patients underwent a tracheotomy made between the 5th
and 7th day after intubation and the second group or late tracheotomy group or it was performed
between the 10th and 15th day post-intubation. Comparing the two groups focused on the duration of
mechanical ventilation, the incidence of nosocomial pneumonia and the length of stay in intensive
care.The authors found a significantly lower incidence of nosocomial pneumonia and durations of
mechanical ventilation and ICU stay shorter than in group 2.The implementation of early
tracheostomy is recommended at the acute phase of severe stroke. It decreases the incidence of
nosocomial pneumonia, helpto weaning from mechanical ventilation and improves prognosis in
these patients.
Keywords : Early tracheostomy. Late tracheostomy. Nosocomial pneumonia. Weaning from
mechanical ventilation.