Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Cammann, S; Timrott, K; Vondran, FWR; Schrem, H; Lehner, F; Klempnauer, J; Knitsch, W; Kleine, M.
Early Tracheostomy Reduces Time of Mechanical Ventilation in Respiratory High-Risk Patients After Liver Transplant.
EXP CLIN TRANSPLANT. 2018; 16(5): 631-634.
Doi: 10.6002/ect.2017.0113
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- Co-Autor*innen der Med Uni Graz
- Schrem Harald Heinrich
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- Abstract:
- Weaning from mechanical ventilation after liver transplant can be demanding. In selected cases, tracheostomy is helpful. The optimal timing for tracheostomy in ventilator-dependent liver transplant recipients is not well known. We retrospectively analyzed data of 447 patients who had undergone liver transplant in our hospital. Thirty-nine patients who had high risk of prolonged mechanical ventilation according to the Respiratory Risk Score were identified from 95 patients who received tracheostomy after liver transplant. When compared with tracheostomy performed > 3 days after transplant, early tracheostomy (≤ 3 days) had a higher likelihood of a brief duration of mechanical ventilation (62.5% vs 9.7%; P = .001). Accordingly, time spent in an intensive care unit was shorter with early tracheostomy. This study provides a retrospective analysis of a small study cohort; therefore, validation of our findings requires a prospective randomized multicenter study on early tracheostomy in respiratory high-risk liver transplant recipients.
- Find related publications in this database (using NLM MeSH Indexing)
- Female -
- Humans -
- Liver Transplantation - adverse effects
- Male -
- Middle Aged -
- Respiration, Artificial - adverse effects
- Retrospective Studies -
- Risk Factors -
- Time Factors -
- Time-to-Treatment -
- Tracheostomy - adverse effects
- Treatment Outcome -
- Ventilator Weaning -
- Find related publications in this database (Keywords)
- Percutaneous dilatational tracheostomy
- Pneumonia
- Respiratory Risk Score