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The effect of percutaneous and surgical tracheotomy on thyroid hormones levels

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Published: Apr 16, 2021
DOI: https://doi.org/10.12681/healthresj.26809
Keywords:
Thyroid hormones surgical tracheotomy percutaneous tracheotomy complications intensive care
Christina Sampani
RN, MSc, PhD(c), Intensive Care Unit, General Hospital of Athens “GENNIMATAS”
Ioannis Kalemikerakis
Assistant Professor, Department of Nursing, University of West Attica
Antonia Kalogianni
Assistant Professor, Department of Nursing, University of West Attica
Dimitrios Papageorgiou
Associate Professor, Department of Nursing, University of West Attica
Abstract

Background: 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).

Aim: The aim of the present study was to evaluate the impact of surgical and percutaneous tracheotomy on thyroid hormones and to compare them.

Material & Methods: This is a non-randomized clinical trial. The studied sample consisted of 87 patients from the Intensive Care Unit of a General Hospital of Athens who underwent percutaneous or surgical tracheotomy.

Results: Thyroid-stimulating hormone 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: The effect of surgical versus percutaneous tracheostomy on thyroid hormone was analyzed and it was found that both procedures may affect the level of thyroid hormones, being significant in the surgical group.

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