Application value of early tracheotomy for severe craniocerebral injury

Objective To investigate the value of early tracheotomy for severe craniocerebral injury. Methods 80 cases of severe craniocerebral injury patients were admitted into our hospital from June 2008 to June 2011,and they were divided into the ET group( early tracheostomy) and the LT group( late tracheostomy) according to different time of tracheotomy. Blood gas were analysed before and after the treatment,and time indexs,incidence of complications and fatality rate were observed in order to compare the curative effect. Results After the treatment,PaCO2,DO2,VO2and PaO2levels in ET group were significantly better than that of LT group( P 0. 05). Duration of mechanical ventilation,antibiotic use and hospitalization time of ET group after PDT were obviously less than LT group( P 0. 05). ALI or ARDS,refractory pneumonia,MODS morbidity,mortality and severe disability of ET group were significantly less than LT group( P 0. 05). Conclusion Early tracheotomy can shorten the duration of mechanical ventilation for severe craniocerebral injury patients,and it can improve the ventilatory status and reduce the incidence of complications and mortality rate,which means a significant improvement of the prognosis.