When and how should we do a tracheostomy?

Current Opinion in Critical Care
L W van Heurn

Abstract

Tracheostomy is one of the most common surgical procedures in the intensive care unit. Since the introduction of percutaneous techniques, tracheostomy has become increasingly popular. The technique is relatively easy, and the early and late complication rates are relatively low.It is unknown at which moment tracheostomy can best be performed in the translaryngeally intubated patient. There are theoretic arguments for both early and late tracheostomy. The excellent results of percutaneous tracheostomy may influence the decision to perform a tracheostomy rather early, but prospective randomized studies are required to gather the necessary evidence.

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Citations

Sep 17, 2008·Journal of Cardiac Surgery·Soner YavasCemal Levent Birincioglu
May 3, 2011·The Journal of Spinal Cord Medicine·Javier Romero GanuzaAlejandro A Luciani
Aug 5, 2004·Critical Care Nursing Quarterly·Denise Fenstermacher, Dennis Hong

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