>Medicina Interna de México
>Year 2016, Issue 4
The role of early tracheostomy in the critically ill patient
Med Int Mex 2016; 32 (4)
PDF: 486.12 Kb.
Although lots of work has been done to assess the benefits of early
tracheostomy, the heterogeneity of these studies is evident; although
the opinion among clinicians is that tracheotomy allows enteral
feeding (oral), improves communication with patients, allows early
ambulation and facilitates cleaning and pulmonary physiotherapy,
there are major differences between authors reporting benefits, prosbut
also respect to the incidence of pneumonia and/or mortality,
which are also important variables. Benefits of early tracheostomy
respect to the days of total hospital stay, days of ICU stay and duration
of mechanical ventilation have been studied, among many
other variables. Diagnosing a disease that requires tracheotomy
when this is done in critically ill patients has, on average, five
times greater impact on reducing costs. This paper aims to give an
overview that allows the clinician to decide the appropriate time
to perform the procedure.
||mortality, prognosis, tracheostomy, ventilation, mechanical, predictors.
Kluger Y, Paul DB, Lucke J, et al. Early tracheostomy in trauma patients. Eur J Emerg Med 1996;3:95-101.
Sugerman HJ, Wolfe L, Pasquale MD, et al. Multicenter, randomized, prospective trial of early tracheostomy. J Trauma 1997;43:741-748.
Bouderka MA, Fakhir B, Bouaggad A, et al. Early tracheostomy versus prolonged endotracheal intubation in severe head injury. J Trauma 2004;57:251-254.
Dunham CM, LaMonica C. Prolonged tracheal intubation in the trauma patient. J Trauma 1984;24:120-124.
Lesnik I, Rappaport W, Fulginiti J, et al. The role of early tracheostomy in blunt, multiple organ trauma. Am Surg 1992;58:346-349.
Boynton JH, Hawkins K, Eastridge BJ, et al. Tracheostomy timing and the duration of weaning in patients with acute respiratory failure. Crit Care Med 2004;8:261-267.
Frutos-Vivar F, Esteban A, Apezteguia C, et al. Outcome of mechanically ventilated patients who require a tracheostomy. Crit Care Med 2005;33:290-295.
Freeman BD, Borecki I, Coopersmith CM, et al. Relationship between tracheostomy timing and duration of mechanical ventilation in critically ill patients. Crit Care Med 2005;33:2513-2520.
Kollef MH, Ahrens TS, Shannon W. Clinical predictors and outcomes for patients requiring tracheostomy in the intensive care unit. Crit Care Med 1999;27:1714-1720.
D’Amelio LF, Hammond JS, Spain DA, et al. Tracheostomy and percutaneous endoscopic gastrostomy in the management of the head-injured trauma patient. Am Surg 1994;60:180185.
Arabi Y, Haddad S, Shirawi N, et al. Early tracheostomy in the intensive care trauma patient’s resource utilization: a cohort study and literature review. Crit Care Med 2004;8:347-352.
Armstrong PA, McCarthy MC, Peoples JB. Reduced use of resources by early tracheostomy in the ventilator-dependent patients with blunt trauma. Surgery 1998;124:763-767.
Rodriguez JL, Steinberg SM, Luchetti FA, et al. Early tracheostomy for primary airway management in the surgical critical care setting. Surgery 1990;108:655-659.
Saffle JR, Morris SE, Edelman L. Early tracheostomy does not improve outcome in burn patients. J Burn Care Rehabil 2002;23:431-438.
Rumbak MJ, Newton M, Truncale T, et al. A prospective, randomized, study comparing early percutaneous dilation tracheotomy to prolonged translaryngeal intubation (delayed tracheostomy) in critically ill medical patients. Crit Care Med 2004;32:1689-1694.
Chintamani KJ, Khanna J, Singh JP, et al. Early tracheostomy in closed head injuries: experience at a tertiary center in a developing country. A prospective study. BMC Emerg Med 2005;5:1471-1479.
Dunham CM, Ransom K. Assessment of early tracheostomy in trauma patients: a systematic review and meta-analysis. Am Surg 2006;72:276-281.
Zgoda M, Berger R. Tracheostomy in the critically ill patient: who, when, and how? Clinical Pulmonary Medicine 2006;13:111-120.
Maziak DE, Meade MO, Todd TR. The timing of tracheotomy: a systematic review. Chest 1998;114:605-609.
Griffiths J, Barber VS, Morgan L, et al. Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. Br Med J 2005;330:1243-1246.
Heffner JE. Medical indications for tracheostomy. Chest 1989;96:186-190.
Marsh HM, Gillespie DJ, Baumgarener AE. Timing of tracheostomy in the critically ill patient. Chest 1989;96:190- 193.
Heffner JE, Miller KS, Sahn SA. Tracheotomy in the intensive care unit. Part I: indications, technique, management. Chest 1986;90:269-274.
Heffner JE, Miller KS, Sahn SA. Tracheostomy in the intensive care unit. Part 2: complications. Chest 1986;90:430-461.
Plummer AL, Gracey DR. Consensus conference on artificial airways in patients receiving mechanical ventilation. Chest 1989;96:178-180.
Ciaglia P, Firsching R, Syniec C. Elective percutaneous dilatational tracheostomy: a new simple bedside procedure. Preliminary report. Chest 1985;87:715-719.
Stauffer JL, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheostomy: a prospective study of 150 critically ill adult patients. Am J Med 1981;70:65-76.
>Medicina Interna de México
>Year 2016, Issue 4