RT Journal Article
SR Electronic
T1 Use of a hemi-cannula in tracheal stoma management in the context of a mechanical ventilation weaning and decannulation program. Analysis of our Intermediate Respiratory Care Unit´s results from 2007 to 2017
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA4015
DO 10.1183/13993003.congress-2019.PA4015
VO 54
IS suppl 63
A1 Itziar Fernandez Ormaechea
A1 Pilar Carballosa De Miguel
A1 Laura Álvarez Suarez
A1 Alba Naya Prieto
A1 Luis Jiménez Hiscock
A1 Reyes Calzado López
A1 Pablo López Yeste
A1 Germán Peces-Barba Romero
A1 Sarah Heili Frades
YR 2019
UL http://erj.ersjournals.com/content/54/suppl_63/PA4015.abstract
AB Introduction: Our Intermediate Respiratory Care Unit (IRCU) follows a mechanical ventilation weaning and decannulation protocol, in which a tracheal hemi-cannula is placed in most patients.The results of our protocol over a ten-year period (2007 to 2017) were analysed, demonstrating the benefits of tracheal hemi-cannula placement, avoiding reintubations and Intensive Care Unit (ICU) readmissions, thus achieving a decrease in mortality.Material and Methods: A retrospective study was conducted including all the tracheostomised patients discharged from the ICU that were admitted to our IRCU.Risk factors for tracheal hemi-cannula use were analysed, including variables such as: SAPS II, age, days of ICU stay, presence of polyneuropathy and the presence of multi-organic failure.Results: During the ten-year period, 307 patients were admitted to the IRCU. In 252 patients (82,1%), a tracheal hemi-cannula was placed, while 55 patients were decannulated without the use of this device.Overall mortality was 17.5% (54 patients). 41 patients (13% of the total) who underwent decannulation with a tracheal hemi-cannula required urgent recannulation. Of these recannulated patients, 36 (79%) survived and 5 (21%) died.Conclusions: The tracheal hemi-cannula is a useful tool in the weaning of complicated patients that allows recannulation if necessary, avoiding 13% of reintubations and re-admissions in the ICU.Mortality of tracheostomised patients in our IRCU weaning and decannulation program was 17.5%, which is lower than similar Spanish and European series.FootnotesCite this article as: European Respiratory Journal 2019; 54: Suppl. 63, PA4015.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).