TY - JOUR
T1 - Tracheostomy healing time after decannulation
AU - Christiansen, Karen Juelsgaard
AU - Devantier, Louise
AU - Pasgaard, Thomas
AU - Benson, Thea Emily
AU - Petersen, Johanne Juel
AU - Kjærgaard, Thomas
AU - Pedersen, Michael
PY - 2022/1
Y1 - 2022/1
N2 - Background: Prolonged healing of tracheostomy after decannulation has a negative impact on respiration, hygiene, cosmetics, and social life. Even so, evidence-based observations of tracheostoma healing time are lacking. Therefore, the aim of this study was to determine tracheostomy wound healing time after decannulation. Methods: In this prospective observational cohort study, we included 30 subjects undergoing decannulation following prolonged mechanical ventilation via tracheostomy. Our primary endpoint was tracheostomy healing time defined as time from decannulation to airtight healing. To identify any factors related to healing time, we included information about patient demographics, comorbidities, tracheostomy method, tube size, and intubation time. All subjects were observed daily until their tracheostomy wound had healed. Results: The median tracheostomy healing time was 6.5 (1-22) days. The duration of tracheal cannulation was the only factor significantly correlated with prolonged healing (p=0.03). Four patients were subjected to recannulation shortly after decannulation due to hypercapnia, respiratory failure, secretion accumulation, or self-decannulation. All wounds achieved complete spontaneous airtight closure. Conclusions: Duration of spontaneous tracheostomy closure after decannulation was 1-22 days, and closure time correlated with duration of cannulation.
AB - Background: Prolonged healing of tracheostomy after decannulation has a negative impact on respiration, hygiene, cosmetics, and social life. Even so, evidence-based observations of tracheostoma healing time are lacking. Therefore, the aim of this study was to determine tracheostomy wound healing time after decannulation. Methods: In this prospective observational cohort study, we included 30 subjects undergoing decannulation following prolonged mechanical ventilation via tracheostomy. Our primary endpoint was tracheostomy healing time defined as time from decannulation to airtight healing. To identify any factors related to healing time, we included information about patient demographics, comorbidities, tracheostomy method, tube size, and intubation time. All subjects were observed daily until their tracheostomy wound had healed. Results: The median tracheostomy healing time was 6.5 (1-22) days. The duration of tracheal cannulation was the only factor significantly correlated with prolonged healing (p=0.03). Four patients were subjected to recannulation shortly after decannulation due to hypercapnia, respiratory failure, secretion accumulation, or self-decannulation. All wounds achieved complete spontaneous airtight closure. Conclusions: Duration of spontaneous tracheostomy closure after decannulation was 1-22 days, and closure time correlated with duration of cannulation.
KW - Complication
KW - Decannulation
KW - Healing, wound closure
KW - Prolonged mechanical ventilation
KW - Tracheostomy
KW - prolonged mechanical ventilation
KW - complication
KW - wound closure
KW - TRACHEOTOMY
KW - MECHANICAL VENTILATION
KW - CLOSURE
KW - healing
KW - decannulation
U2 - 10.4081/mrm.2022.822
DO - 10.4081/mrm.2022.822
M3 - Journal article
C2 - 35265336
SN - 1828-695X
VL - 17
JO - Multidisciplinary Respiratory Medicine
JF - Multidisciplinary Respiratory Medicine
IS - 1
M1 - 822
ER -