Clinical practice of tracheostomia application at the combined trauma

Treatment of 145 patients with combined severe brain injury is carried out. In the first group the number of bronchopulmonary complications decreased by 21% and quantity of lethal outcomes decreased by 11,9%. On classification of ASA at 78 (53,79%) patients the fourth class of serious condition, at 67 (46,2%) - the fifth class took place. The coma of 2 degrees is determined by a scale of Glasgow at 98 (67,58%) victims; at 47 (32, 41%) - coma of 3 degrees. In the first group at 97 (66,9%) victims imposed tracheostoma on our way (The patent of Russian Federation No. 2409326) within the first 3 days after trauma, in the second - at 48 (33,1%) victims in later period.