Analysis of the profile of tracheostomized patients and the decancellation process of a public hospital
DOI:
https://doi.org/10.62827/fb.v25i1.eb81Keywords:
tracheostomy; weaning; protocols; physiotherapy.Abstract
Introduction: Tracheostomy is a common hospital procedure. However, it is not a complication-free procedure, requiring an evaluation for the cannula removal process as soon as the indication for its use is corrected. Objective: To analyze the profile of tracheostomized patients and the decannulation process at a public hospital. Method: Retrospective, observational, cross-sectional study, carried out in a university hospital, through the analysis of electronic medical records of tracheostomized patients. Patients aged ≥ 18 years, both genders, hospitalized between September 2021 and February 2022 were included. A sociodemographic form and the checklist of the institutional decannulation protocol were used for data collection. Results: Sixty medical records of tracheostomized patients were analyzed and 58.3% were male, mean age 55.9 ± 17.8 years, and predominantly neurological (23.3%) and oncological (21.7%) diagnoses. %). It was found that 23 (38.3%) patients were included in the decannulation protocol, 30 (50%) were excluded and 7 (11.7%) had no record regarding insertion or not in the decannulation protocol. As for the patients included in the protocol (n=23), the outcome of cannulation was observed in 16 (69.6%) patients. Regarding success in the decannulation process, 16 (100%) were successful. There was adherence of 43.7% of professionals to this protocol. Conclusion: The classification of tracheostomized patients based on the clinical profile, indication for tracheostomy and associated factors is essential for the decannulation process. All decannulations performed were successful. There is a need for further investigations and institutional management regarding the execution of the protocol.
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