Documentos de Académico
Documentos de Profesional
Documentos de Cultura
mx
Tema de investigacin
SUMMARY
Introduction: The early use of tracheostomy has increased in recent years in order to reduce the deleterious
effects caused by the prolonged intubation. Analyze the
risk of infection in early versus late tracheostomy.
Material and methods: Patients from January 1, 2012 to
June 30, 2013 on mechanical ventilation for more than 48
hours and who underwent tracheostomy. We classified
them early when they were performed 14 days or less,
and late after this date. It was confirmed with the Epidemiological Surveillance Unit if a microorganism was isolated
in bronchial secretion during this period documenting as
ventilator-associated pneumonia.
Results: We performed 42 tracheostomies, 30 early and
12 late. Seven infections were documented, mostly in the
early group (6) and only one in the late.
Discussion and conclusions: No significant difference
in the risk of infection but persists a tendency to ventilatorassociated pneumonia in the early tracheostomy group.
The procedures were performed in the operating room,
and the literature referred to as early tracheostomies are
at the bedside, or percutaneous. Would be useful to
compare the early and late tracheostomy and surgical
technique used as a risk factor.
Key words: Tracheostomy, ventilator associated pneumonia, intensive care unit.
www.medigraphic.org.mx
Introduccin
17
Masculino
29
Femenino
13
Total
42
69.0
Porcentaje Porcentaje
vlido acumulado
69.0
69.0
31.0
31.0
100.0
100.0
100.0
Tipo
Frecuencia Porcentaje
Vlidos
Porcentaje Porcentaje
vlido acumulado
Temprana
31
73.8
73.8
Tarda
11
26.2
26.2
Total
42
100.0
100.0
73.8
www.medigraphic.org.mx
100.0
Recuento
NAV
NAV
Porcentaje Porcentaje
Frecuencia Porcentaje vlido
acumulado
Vlidos
No
35
83.3
83.3
83.3
16.7
16.7
100.0
Total
42
100.0
100.0
Tipo
No
Total
Temprana
25
31
Tarda
10
11
Total
35
42
18
Tipo
Temprana
Tarda
Das
pretraqueostoma
S
No
7
35
10.43
12.43
5.255
8.916
1.986
1.507
Das pretraqueostoma
Se han asumido
varianzas iguales
Prueba
t para
igualdad
de medias
Sig.
0.825
0.369
-0.570
No se han asumido
varianzas iguales
Gnero
Masculino
Femenino
-0.802
Figuras
2 y 3. Esquema
de representacin
en cuanto a
Este
documento
es elaborado
por Medigraphic
tipo de traqueostoma en relacin a tiempo y proporcin de
acuerdo a gnero.
35
30
25
20
15
www.medigraphic.org.mx
10
5
0
NAV
No
S
NAV
Temprana
Sin NAV
Total
Tarda
19
www.medigraphic.org.mx
Correspondencia:
Dra. Cynthia Ocegueda Pacheco
Alfonso Reyes Nm. 2936,
Colonia Villa los Pinos, 064770,
Monterrey, N.L.
Tel: 818 - 029 - 7947
E-mail: dra.ocegueda@hotmail.com