| One-stage decannulation in brain damage patients with tracheotomy |
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| EN KeyWords: brain-damage tracheostomy one-stage decannulation |
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| EN Abstract: |
| Objective:To explore the feasibility of one-stage decannulation in brain-damage patients with tracheotomy.Methods-：Twenty-six cases in observation group were chosen from the brain-damage patients subject to tracheotomy with one-stage decannulation in our hospital from June 2011 to December 2013,and under the same conditions 26 cases in control group were subjected to plugging before removing the tube.Meanwhile the observation group and control group were divided into two subgroups:coma and non-coma.The success rate of decannulation and the complication rate were observed.Results:There was no significant difference in the success rate of decannulation between the observation group (96.16%) and the control group (96.16%).The complication rate in the observation group and control group was 15.38% and 30.77% respectively with the difference being not significant between the two groups.There was no significant difference in the success rate of decannulation and the complication rate between coma and non-coma subgroups.Conclution:There was a high success rate and short time in one-stage decannulation.The severity of brain injury does not affect decannulation outcomes.When the adaptive condition of tube decanulation appeared,we can adopt one-stage decannulation so that patients can enter the stage of rehabilitation earlier. |
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