Tracheostomy versus prolonged intubation in moderate to severe traumatic brain injury: a multicentre retrospective cohort study.

Noémie Villemure-PoliquinOlivier CosteroussePaule Lessard BonaventureNathalie AudetFrançois LauzierLynne MooreRyan ZarychanskiAlexis Fournier Turgeon

Published in: Canadian journal of anaesthesia = Journal canadien d'anesthesie (2023)

In this multicentre cohort study, tracheostomy was associated with decreased mortality when compared with prolonged endotracheal intubation in patients with moderate to severe TBI. This effect does not appear to be modified by the timing of the procedure. Nevertheless, the generalization and application of these results remains limited by potential residual time-dependent indication bias.

Keyphrases

severe traumatic brain injury
traumatic brain injury
cardiac arrest
high intensity
mechanical ventilation
study protocol
clinical trial
double blind
cross sectional
cardiovascular events
early onset
risk factors
intensive care unit
climate change