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The Changing Role for Tracheostomy in Patients Requiring Mechanical Ventilation.

Publication ,  Journal Article
Mahmood, K; Wahidi, MM
Published in: Clin Chest Med
December 2016

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.

Duke Scholars

Published In

Clin Chest Med

DOI

EISSN

1557-8216

Publication Date

December 2016

Volume

37

Issue

4

Start / End Page

741 / 751

Location

United States

Related Subject Headings

  • Tracheostomy
  • Respiratory System
  • Respiration, Artificial
  • Middle Aged
  • Male
  • Intensive Care Units
  • Humans
  • Female
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mahmood, K., & Wahidi, M. M. (2016). The Changing Role for Tracheostomy in Patients Requiring Mechanical Ventilation. Clin Chest Med, 37(4), 741–751. https://doi.org/10.1016/j.ccm.2016.07.013
Mahmood, Kamran, and Momen M. Wahidi. “The Changing Role for Tracheostomy in Patients Requiring Mechanical Ventilation.Clin Chest Med 37, no. 4 (December 2016): 741–51. https://doi.org/10.1016/j.ccm.2016.07.013.
Mahmood K, Wahidi MM. The Changing Role for Tracheostomy in Patients Requiring Mechanical Ventilation. Clin Chest Med. 2016 Dec;37(4):741–51.
Mahmood, Kamran, and Momen M. Wahidi. “The Changing Role for Tracheostomy in Patients Requiring Mechanical Ventilation.Clin Chest Med, vol. 37, no. 4, Dec. 2016, pp. 741–51. Pubmed, doi:10.1016/j.ccm.2016.07.013.
Mahmood K, Wahidi MM. The Changing Role for Tracheostomy in Patients Requiring Mechanical Ventilation. Clin Chest Med. 2016 Dec;37(4):741–751.
Journal cover image

Published In

Clin Chest Med

DOI

EISSN

1557-8216

Publication Date

December 2016

Volume

37

Issue

4

Start / End Page

741 / 751

Location

United States

Related Subject Headings

  • Tracheostomy
  • Respiratory System
  • Respiration, Artificial
  • Middle Aged
  • Male
  • Intensive Care Units
  • Humans
  • Female
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology