Κατεύθυνση Επείγουσα Νοσηλευτική
Library of the School of Health Sciences

2019-11-03

2019

Sampani Athanasia-Christina

Δημήτριος Παπαγεωργίου, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής, Επιβλέπων
Ιωάννης Καλεμικεράκης, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής
Αντωνία Καλογιάννη, Επίκουρος Καθηγήτρια, Τμήμα Νοσηλευτικής, Πανεπιστήμιο Δυτικής Αττικής

Η επίδραση της διαδερμικής τραχειοστομίας στη μεταβολή των θυρεοειδικών ορμονών σε σχέση με την χειρουργική τραχειοστοµία

Greek

The effect of percutaneous and surgical tracheostomy on thyroid hormones levels

INTRODUCTION: The need for prolonged mechanical ventilation is one of the most serious cases of a disease in patients in intensive care units. Tracheostomy is often considered as a solution when mechanical ventilation is expected to be used for prolonged periods or for improvement of the respiratory state as this approach provides protection of the airways, facilitates access to remove secretions, improves patient convenience and promotes the development of care inside and outside the Intensive Care Unit (ICU).
OBJECTIVES: The purpose of this study was to evaluate the impact of surgical and transdermal tracheotomy on thyroid hormones and to compare them.
METHODOLOGY: This is a non-randomized clinical trial study. The study sample consisted of 87 patients from the Intensive Care Unit of the General Hospital "G. GENNIMATAS' who underwent percutaneous or surgical tracheotomy.
RESULTS: TSH levels were increased in surgical group compared to percutaneous group at 2 hours post procedure but the difference was not found statistically significant. The rise in post-operative levels of fT3 compared to preoperative was found statistically significant for surgical tracheostomy group. Elevated fT4 levels were found in both groups
CONCLUSIONS: We analyzed the effect of surgical versus percutaneous tracheostomy on thyroid hormone and it was found that both procedures may affect the level of thyroid hormones, being significant in the surgical group.

Health Sciences

Thyroid hormones, Surgical tracheotomy, Percutaneous tracheotomy, Complications, Intensive care, Airway management

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Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/2884657