Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10556
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dc.contributor.authorBerney, Susan Cen
dc.contributor.authorOpdam, Helen Ingriden
dc.contributor.authorBellomo, Rinaldoen
dc.contributor.authorLiew, Susanen
dc.contributor.authorSkinner, Elizabeth Hen
dc.contributor.authorEgi, Moritokien
dc.contributor.authorDenehy, Lindaen
dc.date.accessioned2015-05-16T00:03:16Z-
dc.date.available2015-05-16T00:03:16Z-
dc.date.issued2008-03-01en
dc.identifier.citationThe Journal of Trauma; 64(3): 749-53en
dc.identifier.govdoc18332819en
dc.identifier.otherPUBMEDen
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/10556en
dc.description.abstractThe optimal timing of tracheostomy after anterior cervical spine surgery remains controversial because of the potential for deep infection. The aims of this study were to compare the infection rates in patients requiring tracheostomy who underwent anterior versus posterior cervical spine surgery, and to report the timing of tracheostomy tube placement in such patients.All patients admitted to a referral Intensive Care Unit for spinal trauma from January 1998 until May 2005, who underwent surgical stabilization with instrumentation and also received a tracheostomy, were retrospectively evaluated for demographic data, severity of neurologic injury, and complications including infection to a surgical site and timing and type of tracheostomy procedure.We identified 71 patients, all who had a diagnosis of acute cervical spine injury. Thirty-two (45%) underwent anterior stabilization, 15 (21%) had posterior stabilizations, and 24 (34%) required both anterior and posterior approaches. The mean time from stabilization to tracheostomy for an anterior approach was 3.8 +/- 2.6 days. There was no significant difference in the timing of tracheostomy for different surgical approaches. Seventeen patients (25%) had a positive culture of their cervical and or tracheostomy incision site. Only one patient, however, had infection with the same organism at both the tracheostomy site and the anterior stabilization site. Suspected infection was managed with antibiotics and no further surgical intervention was required.Early tracheostomy after spinal stabilization is associated with a low risk of infection even after the anterior approach.en
dc.language.isoenen
dc.subject.otherAdolescenten
dc.subject.otherAdulten
dc.subject.otherAgeden
dc.subject.otherAged, 80 and overen
dc.subject.otherAnalysis of Varianceen
dc.subject.otherCervical Vertebrae.injuriesen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherRetrospective Studiesen
dc.subject.otherSpinal Injuries.therapyen
dc.subject.otherTime Factorsen
dc.subject.otherTracheostomyen
dc.titleAn assessment of early tracheostomy after anterior cervical stabilization in patients with acute cervical spine trauma.en
dc.typeJournal Articleen
dc.identifier.journaltitleThe Journal of traumaen
dc.identifier.affiliationDepartment of Physiotherapy, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1097/.TA.0b013e31802c8234en
dc.description.pages749-53en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/18332819en
dc.type.austinJournal Articleen
item.grantfulltextnone-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
crisitem.author.deptPhysiotherapy-
crisitem.author.deptIntensive Care-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
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