Controversies in Mechanical Ventilation: When Should a Tracheotomy Be Placed?

Christopher King; Lisa K. Moores

doi:10.1016/j.ccm.2008.01.002

Controversies in Mechanical Ventilation: When Should a Tracheotomy Be Placed?

Christopher King, Lisa K. Moores^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

30 Scopus citations

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.

Original language	English
Pages (from-to)	253-263
Number of pages	11
Journal	Clinics in Chest Medicine
Volume	29
Issue number	2
DOIs	https://doi.org/10.1016/j.ccm.2008.01.002
State	Published - Jun 2008
Externally published	Yes

Access to Document

10.1016/j.ccm.2008.01.002

Cite this

@article{96a1c6164852495f965e3701ec8789b1,

title = "Controversies in Mechanical Ventilation: When Should a Tracheotomy Be Placed?",

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.",

author = "Christopher King and Moores, {Lisa K.}",

year = "2008",

month = jun,

doi = "10.1016/j.ccm.2008.01.002",

language = "English",

volume = "29",

pages = "253--263",

journal = "Clinics in Chest Medicine",

issn = "0272-5231",

number = "2",

}

TY - JOUR

T1 - Controversies in Mechanical Ventilation

T2 - When Should a Tracheotomy Be Placed?

AU - King, Christopher

AU - Moores, Lisa K.

PY - 2008/6

Y1 - 2008/6

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=42649104798&partnerID=8YFLogxK

U2 - 10.1016/j.ccm.2008.01.002

DO - 10.1016/j.ccm.2008.01.002

M3 - Review article

C2 - 18440435

AN - SCOPUS:42649104798

SN - 0272-5231

VL - 29

SP - 253

EP - 263

JO - Clinics in Chest Medicine

JF - Clinics in Chest Medicine

IS - 2

ER -

Controversies in Mechanical Ventilation: When Should a Tracheotomy Be Placed?

Abstract

Access to Document

Fingerprint

Cite this