Decannulation Following Tracheostomy for Prolonged Mechanical Ventilation

Abstract

Decannulation was achieved in 35% of patients transferred to an LTAC for weaning from prolonged mechanical ventilation.

Tracheostomy TubesDiscussion

“…O'Connor et al 29 examined the process of decannulation in patients transferred to a long-term acute care hospital. Decannulation was successful in 35% of patients at a median of 45 d following tracheostomy.…”

Proyecto de seguridad del paciente traqueotomizado procedente de una unidad de cuidados críticos.

“…Hay pocos estudios que expresen la circunstancia idónea para decanular y están basados fundamentalmente en la experiencia personal de sus autores [42]. En base a la literatura publicada [8,13,27,37,[43][44][45][46][47], aplicamos actualmente el protocolo de la Tabla 2, junto a la evaluación fibroendoscópica ya descrita [28]. Pero nuestra mejor referencia es la que obtenemos de la evaluación continuada, de las posibles emergencias y del permanente contacto con el paciente.…”

Long-Term Mechanical Ventilation: Management Strategies

“…Overall about 35% of patients referred to LTACs for PMV are successfully decannulated. 68 Accidental decannulation, like accidental extubation, 69 can be life threatening and has not been well studied to date. Data on the causes of AD at our facility have been recently submitted for publication.…”