Tracheotomy in Patients With Acquired Immunodeficiency Syndrome: Is It Necessary?

Giovana R. Thomas; Ernest M. Myers; Anthony Nunez

doi:10.1001/archotol.1994.01880340066011

Tracheotomy in Patients With Acquired Immunodeficiency Syndrome: Is It Necessary?

Giovana R. Thomas, Ernest M. Myers, Anthony Nunez

Otolaryngology

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Objective: Patients with acquired immunodeficiency syndrome (AIDS) who develop respiratory failure and require mechanical ventilation have mortality rates of 85%. Tracheotomies are performed in this patient population for prolonged intubation. However, to date, objective data on tracheotomy in patients with AIDS are lacking. Tracheotomy in ventilator-dependent patients with AIDS presents risks to patients and exposes surgeons, nurses, and operating room personnel to human immunodeficiency virus-infected blood. Design: Given these considerations, we retrospectively reviewed our experience with tracheotomy in 10 intubated and ventilator-dependent patients with AIDS. Conclusions: Our study shows a mortality rate of 100%. We identify predictive factors and a prognosis that may aid in the treatment of these patients.

Original language	English (US)
Pages (from-to)	1126-1129
Number of pages	4
Journal	Archives of Otolaryngology--Head and Neck Surgery
Volume	120
Issue number	10
DOIs	https://doi.org/10.1001/archotol.1994.01880340066011
State	Published - Oct 1994

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

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title = "Tracheotomy in Patients With Acquired Immunodeficiency Syndrome: Is It Necessary?",

abstract = "Objective: Patients with acquired immunodeficiency syndrome (AIDS) who develop respiratory failure and require mechanical ventilation have mortality rates of 85%. Tracheotomies are performed in this patient population for prolonged intubation. However, to date, objective data on tracheotomy in patients with AIDS are lacking. Tracheotomy in ventilator-dependent patients with AIDS presents risks to patients and exposes surgeons, nurses, and operating room personnel to human immunodeficiency virus-infected blood. Design: Given these considerations, we retrospectively reviewed our experience with tracheotomy in 10 intubated and ventilator-dependent patients with AIDS. Conclusions: Our study shows a mortality rate of 100%. We identify predictive factors and a prognosis that may aid in the treatment of these patients.",

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