Indications for and Timing of Tracheostomy

Author: Durbin Jr, Charles G.

Source: Respiratory Care, Volume 50, Number 4, April 2005 , pp. 483-487(5)

Publisher: The Journal Respiratory Care Company

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Abstract:

Tracheostomy is one of the most common intensive care unit procedures performed. The advantages include patient comfort, safety, ability to communicate, and better oral and airway care. Patients may have shorter intensive care unit stays, days of mechanical ventilation, and hospital stays. There are risks, long-term and acute, and the timing of when to do a tracheostomy must be individualized. As soon as the need for prolonged airway access is identified, the tracheostomy should be considered. Generally, this decision can be made within 7-10 days. Bedside techniques allow rapid tracheostomy with low morbidity.

Keywords: TRACHEOSTOMY; ACUTE RESPIRATORY FAILURE; MECHANICAL VENTILATION; WEANING; ARTIFICIAL AIRWAY

Document Type: Research article

Affiliations: 1: Department of Anesthesiology, University of Virginia Health Science Center, PO Box 800710, Charlottesville VA 22908-0170;, Email: cgd8v@virginia.edu

Publication date: 2005-04-01

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