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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients. | Available online http ccforum.eom content 11 1 R3 Open Access A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients Ali A El Solh and Wafaa Jaafar Division of Pulmonary Critical Care and Sleep Medicine State University of New York 462 Grider Street Buffalo NY 14215 USA Corresponding author Ali A El Solh solh@buffalo.edu Received 10 Oct 2006 Revisions requested 14 Dec 2006 Revisions received 15 Dec 2006 Accepted 12 Jan 2007 Published 12 Jan 2007 Critical Care 2007 11 R3 doi 10.1186 cc5147 This article is online at http ccforum.com content 11 1 R3 2007 El Solh and Jaafar licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction There is little objective comparative information about the postoperative complications of tracheostomy in morbidly obese patients. The aim of this study was to determine the incidence and severity of complications associated with open tracheostomy in critically ill morbidly obese patients during hospitalization. Methods During a six year period all consecutive morbidly obese patients body mass index BMI of greater than or equal to 40 kg m2 who underwent an elective open tracheostomy were compared to a control group BMI of less than 40 kg m2 of the same institution. Variables examined included age gender BMI Charlson index and reasons for tracheostomy. All postoperative tracheotomy-related complications that occurred during hospitalization including death were recorded. Results A tracheostomy was performed in 89 morbidly obese patients out of 427 critically ill patients. A total of 27 complications were recorded in 22 morbidly obese patients 25 compared to 65 complications in 49 patients 14 of the control group p 0.03 . The majority of .
