Prolonged Mechanical Ventilation, Weaning, and the Role of Tracheostomy

Rose, Louise; Messer, Ben

doi:10.1016/j.ccc.2024.01.008

Critical Care Clinics

2024

DOI: 10.1016/j.ccc.2024.01.008

|View full text |Cite

Prolonged Mechanical Ventilation, Weaning, and the Role of Tracheostomy

Louise Rose,

Ben Messer

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 105 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Tracheostomy: update on why, when and how

Lais,

Piquilloud

2024

Current Opinion in Critical Care

View full text Add to dashboard Cite

Purpose of review The aim of this review is to summarize available data, including the most recent ones, to help develop the best possible strategy regarding the use of tracheostomy in ICU patients requiring prolonged mechanical ventilation or who experience loss of airway-protecting mechanisms. Recent findings Tracheostomy facilitates the weaning process by reducing the patient's work of breathing and increasing comfort. It thus allows for a reduction in sedation levels. It also helps with secretions clearance, facilitates disconnection from the ventilator, and enables earlier phonation, oral intake, and mobilization. Despite these advantages, tracheostomy does not reduce mortality and is associated with both early and late complications, particularly tracheal stenosis. The timing of tracheostomy remains a subject of debate, and only a personalized approach that considers each patient's specific characteristics can help find the best possible compromise between avoiding unnecessary delays and minimizing the risks of performing a needless invasive procedure. In the absence of contraindications, the percutaneous single dilator technique under fibroscopic guidance should be the first choice, but only if the team is properly trained. Summary A step-by-step individualized approach based on the available evidence allows identifying the best strategy regarding the use of tracheostomy in ICU patients.

show abstract

Tracheostomy: update on why, when and how

Lais,

Piquilloud

2024

Current Opinion in Critical Care

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Prolonged Mechanical Ventilation, Weaning, and the Role of Tracheostomy

Cited by 1 publication

References 105 publications

Tracheostomy: update on why, when and how

Tracheostomy: update on why, when and how

Contact Info

Product

Resources

About