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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 37(1); 1994 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1994;37(1): 126-32.
A Clinical Study of Early Tracheostomy in Neurosurgical Patients
Sung Wan Kim, MD, Jong Hoon Won, MD, and Kwang Il Kim, MD
Department of Otolaryngology-Head and Neck Surgery, Kang Nam General Hospital, Public Corporation, Seoul, Korea
신경외과 환자에서의 조기 기관절개술에 대한 고찰
김성완 · 원종훈 · 김광일
지방공사 강남병원 이비인후과

The maintenance of airway is essential for management of the neurosurgical patients. The patients often require prolonged intubation or tracheostomy. The choice of method to manage the airway is still controversial. So, we reviewed 92 neurosurgical patients who had early tracheostomies retrospectively. In this series, the results were as follows. 1) The mental status at the admission might be an indicator of early tracheostomy. Most cases required prolonged period for airway management. Therefore, early tracheostomy should be considered because this could prevent a lot of complications caused by the prolonged translaryngeal intubation. 2) The most ideal indication of early tracheostomy was the airway obstruction caused by neurologic deficit. 3) The acid-base imbalance and cerebral hypoxia in neurosurgical patients might be improved by early tracheostomy. 4) Early tracheostomy is a safe surgical procedure and represents lower complication rate than translaryngeal intubation at the neurosurgical patients.

Keywords: TracheostomyComplication.
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