Chandrapur Call girls 8617370543 Provides all area service COD available
The Role of Early Tracheostomy in Severe Head Injuries - Dr. Rajiv Jha (Neurosurgeon Nepal)
1. The Role of eaRlyThe Role of eaRly
TRacheosTomy in seveReTRacheosTomy in seveRe
head injuRieshead injuRies
National Neurosurgical Referral Centre
National Academy of Medical Sciences
Bir Hospital, Kathmandu, Nepal
Prashant kaushal
Prof Pawan kumar
2. TRacheosTomy
One of the earliest life saving
procedures.
Indication changing with the
change of critical care practice.
Improving intensive care has
either reduced or delayed the
indication for tracheostomy.
Any role of early tracheostomy
still?
3. objecTives
Determine the role of early tracheostomyDetermine the role of early tracheostomy
in outcome of severe head injuryin outcome of severe head injury
5. sTudy design
Retrospective studyRetrospective study
October 2005 to Oct. 2009 at NNRCOctober 2005 to Oct. 2009 at NNRC..
Retrospective studyRetrospective study
October 2005 to Oct. 2009 at NNRCOctober 2005 to Oct. 2009 at NNRC..
6. Study deSign
Inclusion criteriaInclusion criteria –All severe head injuries–All severe head injuries
requiring tracheostomyrequiring tracheostomy
GCS of less than 8GCS of less than 8
7. OutcOme meaSureS
Glasgow Outcome Score at threeGlasgow Outcome Score at three
months.months.
Glasgow Outcome Score at threeGlasgow Outcome Score at three
months.months.