title: Could ventriculoperitoneal shunt and tracheotomy procedures be realized in the same surgical time?
abstract: BACKGROUND
  Both tracheotomy and ventriculoperitoneal shunting procedures may be required for the same critically ill patient. However, the risk of surgical site infection (SSI) may be increased if both procedures are performed simultaneously.
  
  
  METHODS
  We performed a retrospective analysis of 41 consecutive patients who underwent both procedures simultaneously in our institution between March 2000 and January 2008.
  
  
  RESULTS
  Analysis revealed no difference in SSI rate between patients undergoing both procedures simultaneously and in staged procedures.
  
  
  CONCLUSIONS
  VP shunting and tracheotomy procedures could be performed simultaneously without increasing the risk of surgical site infection. Such strategy may shorten the length of stay in critical care units.
authors.affiliation: Service de Neurochirurgie, Hôpital Cavale Blanche, CHRU Brest, France; Laboratoire de traitement de l'information médicale, LaTIM UMR1101, Brest, France; Université de Brest, Brest, France. Electronic address: romuald.seizeur@chu-brest.fr.
authors.forename: R
authors.initials: R
authors.lastname: Seizeur
authors.affiliation: Service de Neurochirurgie, Hôpital Cavale Blanche, CHRU Brest, France; Laboratoire de traitement de l'information médicale, LaTIM UMR1101, Brest, France; Université de Brest, Brest, France.
authors.forename: E
authors.initials: E
authors.lastname: Magro
authors.affiliation: Service de Neurochirurgie, Hôpital Cavale Blanche, CHRU Brest, France.
authors.forename: V
authors.initials: V
authors.lastname: Allano
authors.affiliation: Service de Neurochirurgie, Hôpital Cavale Blanche, CHRU Brest, France; Laboratoire de traitement de l'information médicale, LaTIM UMR1101, Brest, France; Université de Brest, Brest, France.
authors.forename: F
authors.initials: F
authors.lastname: Abed-Rabbo
authors.affiliation: Service de Neurochirurgie, Centre Hospitalier de l'Université de Montréal, Qc, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Obaid
authors.affiliation: Département d'anesthésie réanimation, Hôpital Cavale Blanche, CHRU Brest, France.
authors.forename: P
authors.initials: P
authors.lastname: Reynaud
mesh_terms: D000328:Adult; D000368:Aged; D002543:Cerebral Hemorrhage / Q000601:surgery; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D012306:Risk; D013530:Surgical Wound Infection / Q000209:etiology / Q000601:surgery; D014140:Tracheotomy / Q000379:methods; D017287:Ventriculoperitoneal Shunt / Q000379:methods
keywords: Hemorrhage; Hydrocephalus; Surgical site infection; Tracheostomy; VP-shunt