The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts


Lindsey Kreisher, Jhaymie L. Cappiello, Michael Gentile, Jan Thalman, Neil MacIntyre; Duke University Hospital, Raleigh, NC

Background: Tracheostomies are performed for patients requiring prolonged mechanical ventilation. These tracheostomies are most often temporary. Current literature is suggestive of benefits to a centralized tracheostomy service to provide efficient management of the temporary tracheostomy. Resistance to centralization of a tracheostomy management service may exist if medical specialties have significant differences in their decannulation practice. We sought to determine if differences in decannulation practices among the medical specialties existed at our institution. Methods: IRB approval was obtained to perform a retrospective review of adult patients who received a tracheostomy for prolonged mechanical ventilation and were decannulated between January 2009 and December 2011. Patients were subsequently grouped by their primary care service: Medicine, Neurosciences, and Surgical. Cardiothoracic surgery and ENT patients were excluded due to their services’ treatment plans that included specialized tracheostomy care. Tracheostomy decannulation data reviewed per service included; number of decannulations, total length of tracheostomy days (LOTD) (mean ± SD), and length of tracheostomy post ventilation (LTPV) (mean ± SD). Results: See Table Conclusion: Among the three groups of medical specialties, there was no significant difference in decannulation practice. The influence of a centralized tracheostomy service could address the needs of all temporarily tracheostomized patients in these three service areas. Sponsored Research - None Results