Techniques of surgical tracheostomy

Peter A. Walts, Sudish C. Murthy, Malcolm M. DeCamp*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

36 Scopus citations

Abstract

Tracheostomy has become one of the most commonly performed procedures in the critically ill patient. Variations in technique and expertise have led to a wide range of reported procedural related morbidity and rarely mortality. The lack of prospective, controlled trials, physician bias and patient comorbidities further confound the decisions regarding the timing of tracheostomy. With careful attention to anatomy and technique, the operative complication rate should be less than 1%. In such a setting, the risk-benefit ratio of prolonged translaryngeal intubation versus tracheostomy begins to weigh heavily in favor of surgical tracheostomy. At exactly what point this occurs remains undefined, but certainly by the tenth day of intubation, if extubation is not imminent, arrangements should be made for surgical tracheostomy by a team experienced with the chosen technique.

Original languageEnglish (US)
Pages (from-to)413-422
Number of pages10
JournalClinics in Chest Medicine
Volume24
Issue number3
DOIs
StatePublished - Sep 2003

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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