Controversies in Mechanical Ventilation: When Should a Tracheotomy Be Placed? - 15/08/11
Corresponding author.Abstract |
With the large and increasing population of mechanically ventilated patients, critical care physicians frequently face the dilemma of whether to perform tracheotomy. The decision is a complex one, requiring a detailed understanding of the risks and benefits of both tracheotomy and prolonged translaryngeal intubation (TLI). It also must be individualized, taking into consideration the patient’s preferences and expected clinical course. This article reviews the medical literature regarding the benefits and risks of tracheotomy as compared with TLI. The authors then discuss current data regarding the optimal timing for the procedure and propose an algorithm that may aid intensivists in clinical decision making.
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| The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as the views of the Department of the Army or the Department of Defense. |
Vol 29 - N° 2
P. 253-263 - juin 2008 Regresar al número
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