Early Tracheostomy or Prolonged Translaryngeal Intubation in the ICU: A Long Running Story

Banfi, Paolo; Robert, Dominique

doi:10.4187/respcare.02875

Cited by 11 publications

(5 citation statements)

References 13 publications

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“…13,23 The concerns regarding ET are based on studies which show no benefits of early tracheostomy and reports that only about 50% of the patients randomized for late tracheostomy ultimately underwent it. 24,25 Our results confirm that ET patients have shorter ICULOS and DMV than LT patients. Mortality benefits of early tracheostomy remain debatable as both the reduction of mortality and no influence on mortality were previously reported.…”

Section: Variablesupporting

confidence: 77%

Early Versus Late Tracheostomy in Trauma Patients With Rib Fractures

Fokin

Wycech

Shue

et al. 2020

Journal of Surgical Research

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Section: Variablesupporting

confidence: 77%

Early Versus Late Tracheostomy in Trauma Patients With Rib Fractures

Fokin

Wycech

Shue

et al. 2020

Journal of Surgical Research

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“…At present, there are no conclusive data of the superiority of tracheotomy versus intubation in the management of the airway in AE or AS. Intubation is regarded as easy and rapid, associated with low cost and avoidance of acute and late surgical complications [9]. The possible advantages after tracheotomy may include less need for sedation, better patient comfort, and the possibility to communicate and swallow [9].…”

Section: Discussionmentioning

confidence: 99%

“…Intubation is regarded as easy and rapid, associated with low cost and avoidance of acute and late surgical complications [9]. The possible advantages after tracheotomy may include less need for sedation, better patient comfort, and the possibility to communicate and swallow [9]. Often, the method of airway management must be assessed on case-by-case basis.…”

Section: Discussionmentioning

confidence: 99%

Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis

Tapiovaara

Aro

Bäck

et al. 2019

Eur Arch Otorhinolaryngol

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Purpose In acute epiglottitis (AE) or acute supraglottitis (AS), the management of the airway is crucial. We hypothesized that tracheotomized patients recover faster than intubated patients do. Methods We retrospectively reviewed all adult AE and AS patients, who underwent intubation or tracheotomy between 2007 and 2018 in a tertiary care center. Patient demographics, treatment, and complications were analyzed. Results The cohort comprised 42 patients. The airway was secured with intubation in 50% and with tracheotomy in 50%. All intubated patients (n = 21) and three tracheotomized patients were treated in the intensive care unit (p < 0.0001). Procedurerelated complications were encountered in three intubated and eight tracheotomized patients (p = 0.892). Median overall treatment cost was 11.547 € and 5.856 € in the intubated and tracheotomized patient groups, respectively (p < 0.001). The median duration of sick leave after discharge from hospital was 13 days in the tracheotomy group and 7 days in the intubation group (p = 0.097). Conclusion Tracheotomy resulted in a less expensive management in securing the airway in AE or AS, but tracheotomized patients had a trend towards more complications and longer sick leaves compared to intubated patients.

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“…The tracheostomy tube aids pulmonary toileting and oral hygiene, as well as lowering the risk of ventilator-associated pneumonia (Manisha, George & Nadiya, 2021). A tracheostomy tube is also less unpleasant for patients awakening from a coma, and sedation can be tapered off more readily (Banfi & Robert, 2013;Khammas & Dawood, 2018). In addition, tracheostomy reduces the physiological dead space of ventilation and hence decreases the work of breathing dramatically (Adly et al, 2018;Quiñones-Ossa et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

A Review on Nursing Care of Severe Head Injury Patients Who Undergo Late Versus Early Tracheostomy

Ludin

2023

MJN

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Introduction: A severe head injury is an illness that causes temporary or permanent neuronal damage. Tracheostomy is one treatment option for critically ill patients, especially severe head injury patients, who require long-term mechanical ventilation. Outcomes for mechanically ventilated patients with severe brain injury have improved, but tracheostomy practices for patients with severe brain injury are still being debated in Malaysia. Objective: This review highlights the pros and cons of early versus late tracheostomy among patients suffering from severe head injuries. Method: The Medical Subject Heading (MeSH) terms were used to search the previous articles related to the early and late tracheostomy. The database was searched for articles published after 2000. Result: Early tracheostomy brings more beneficial aspects to severe head injury patients. A good prognosis was shown in previous articles. Conclusion: This study seeks to explore whether it is true that early tracheostomy among severe head injury patients will reduce the duration of the Intensive Care Unit (ICU) stay, wean patients off the use of ventilators faster, help in resource utilization, bring down the death rate, and reduce the likelihood of ICU readmission. Additionally, improved functional outcomes, aggregate quality of life, and rehabilitation compliance are all expected benefits of performing an early tracheostomy.

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Early Tracheostomy or Prolonged Translaryngeal Intubation in the ICU: A Long Running Story

Cited by 11 publications

References 13 publications

Early Versus Late Tracheostomy in Trauma Patients With Rib Fractures

Early Versus Late Tracheostomy in Trauma Patients With Rib Fractures

Comparison of intubation and tracheotomy in adult patients with acute epiglottitis or supraglottitis

A Review on Nursing Care of Severe Head Injury Patients Who Undergo Late Versus Early Tracheostomy

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