The Changing Role for Tracheostomy in Patients Requiring Mechanical Ventilation.

Published

Journal Article (Review)

Tracheostomy is performed in patients who require prolonged mechanical ventilation or have upper airway instability. Percutaneous tracheostomy with Ciaglia technique is commonly used and rivals the surgical approach. Percutaneous technique is associated with decreased risk of stomal inflammation, infection, and bleeding along with reduction in health resource utilization when performed at bedside. Bronchoscopy and ultrasound guidance improve the safety of percutaneous tracheostomy. Early tracheostomy decreases the need for sedation and intensive care unit stay but may be unnecessary in some patients who can be extubated later successfully. A multidisciplinary approach to tracheostomy care leads to improved outcomes.

Full Text

Duke Authors

Cited Authors

  • Mahmood, K; Wahidi, MM

Published Date

  • December 2016

Published In

Volume / Issue

  • 37 / 4

Start / End Page

  • 741 - 751

PubMed ID

  • 27842753

Pubmed Central ID

  • 27842753

Electronic International Standard Serial Number (EISSN)

  • 1557-8216

International Standard Serial Number (ISSN)

  • 0272-5231

Digital Object Identifier (DOI)

  • 10.1016/j.ccm.2016.07.013

Language

  • eng