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Research Paper | Anaesthesiology | India | Volume 12 Issue 2, February 2023

Endotracheal Intubation versus Tracheostomy in Critically ICU Patients Requring Prolonged Mechanical Ventilation: A Comparative Study

Shilpika Kakoty | Debolina Sarkar | Madhusmrita Ghosh | Karuna Kumar Das

Abstract: Aim: To compare prolonged endotracheal intubation with tracheostomy in critically ill icu patients requiring prolonged mechanical ventilation. Methods: he study design was prospective and retrospective, comparative study, including 100 patients aged between 18 - 70 years on prolonged mechanical ventilation. These patients were divided into patients on prolonged intubation and patients requiring tracheostomy, depending on timing of tracheostomy, if done within one week after intubation they are considered as early tracheostomy group and late tracheostomy group if done after one week of intubation. These patients are assessed on parameters like total duration of mechanical ventilation, length of ICU stay and mortality rate. Results: It is observed that early tracheostomy has reduced the duration of mechanical ventilation than late tracheostomy, In hospital mortality rate is high among patients on prolonged intubation than patients on tracheostomy. Early tracheostomy patients has decreased length of ICU stay, consequently shortened length of hospital stay when compared to late tracheostomy group. Conclusion: Early tracheostomy (done within 1 week after intubatiuon) has significantly increased the number of ventilator free days, reduced ICU and overall length of hospital stay.

Keywords: Endotracheal Intubation, Tracheostomy, Critical Ill ICU Patients, Hospital Stay, ICU Stay

Edition: Volume 12 Issue 2, February 2023,

Pages: 862 - 864