Category: Tracheostomy

Timing of Tracheostomy in the Critically III Patient: Conclusions

To further examine the major determinants for tracheostomy in each of these 6 diagnostic subgroups, we looked at the relationships between the underlying diagnosis, the use of invasive monitoring, and the time during which mechanical ventilation was required (Table 5, Fig 1). In addition, we noted whether tracheostomy was discontinued at hospital dismissal or continued. […]

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Timing of Tracheostomy in the Critically III Patient: Current Pragmatic Experience

Timing of Tracheostomy in the Critically III Patient: Current Pragmatic Experience

Current Pragmatic Experience With this controversy in mind, the philosophic position adopted since 1974 by the Critical Care Service at Mayo in conjunction with our medical and surgical colleagues has been that tracheostomy should be considered at day 10 of intubation and performed then unless extubation or de^th was imminent. To examine this in practice, […]

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Timing of Tracheostomy in the Critically III Patient: Late Tracheal Stenosis

Late Tracheal Stenosis Late tracheal stenosis after tracheostomy has received sporadic attention in case reports since at least 1964. In follow-up of 237 patients (120 responding) who had more than 3 days of intubation in a large multidisciplinary ICU at Victoria Hospital, 52 were intubated 7 days or less, and only 1 of these had […]

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Timing of Tracheostomy in the Critically III Patient

Timing of Tracheostomy in the Critically III Patient

To best answer the question how long patients should be intubated before receiving tracheostomy, we need to answer subsidiary sets of questions: What are the advantages and disadvantages of tracheostomy and prolonged endotracheal intubation? What are the comparative complication rates? What are the major mechanisms causing complications? Can the rates of complication be modified? and […]

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