Tracheostomy in special groups of critically ill patients: Who, when, and where?
Tracheostomy is one of the most common procedures undertaken in critically ill patients. It offers many theoretical advantages over translaryngeal intubation. Recent evidence in a heterogeneous group of critically ill patients, however, has not demonstrated a benefit for tracheostomy, in terms of mortality, length of stay in Intensive Care Unit (ICU), or incidence of ventilator-associated pneumonia. It may be a beneficial intervention in articular subsets of ICU patients. In this article, we will focus on the evidence for the timing of tracheostomy and its effect on various subgroups of patients in critical care.
Department of Critical Care Medicine, Intensive Care Unit, University College Hospital, London, UK.
Aisling
A
Longworth
Department of Critical Care Medicine, Intensive Care Unit, University College Hospital, London, UK.
David
D
Veitch
Department of Critical Care Medicine, Critical Care Unit, Queen Elizabeth Hospital, University Hospital of Birmingham NHS Foundation Trust, Birmingham, UK.
Sandeep
S
Gudibande
Department of Critical Care Medicine, Critical Care Unit, Queen Elizabeth Hospital, University Hospital of Birmingham NHS Foundation Trust, Birmingham, UK.
Tony
T
Whitehouse
Department of Critical Care Medicine, Critical Care Unit, Queen Elizabeth Hospital, University Hospital of Birmingham NHS Foundation Trust, Birmingham, UK.
Catherine
C
Snelson
Department of Critical Care Medicine, Critical Care Unit, Queen Elizabeth Hospital, University Hospital of Birmingham NHS Foundation Trust, Birmingham, UK; Department of Medicine, Division of Anaesthesia, University of Cambridge, Cambridge, UK.
Tonny
T
Veenith
Complications; mechanical ventilation; percutaneous tracheostomy; surgical tracheostomy; tracheostomy; translaryngeal intubation; ventilator-associated pneumonia