The influence of tracheostomy timing on outcomes in trauma patients: A meta-analysis

The impact of tracheotomy timing in critically ill patients undergoing mechanical ventilation: A meta-analysis of randomized controlled clinical trials with trial sequential analysis

“…29 Early tracheotomy may be considered when the clinical impression is that the patient requires prolonged MV and tracheotomy would prevent one or more complications of prolonged intubation including increased patient discomfort, the need for sedation or the risk of pneumonia. 30 Although there was Initially enthusiastic support for early tracheotomy to improve patient outcomes, repeated studies have been unable to reproduce such robust benefits. 13,14,26,31 It is difficult to clarify objective criteria to foresee whether patients will require prolonged ventilatory support and therefore a tracheotomy.…”

Early Versus Late Tracheostomy in Trauma Patients With Rib Fractures

“…7,8,12 Most commonly ET is defined as performed within 7 d of translaryngeal intubation, and LT as any time thereafter. 6,9,13,14 In our cohorts, mean timing from admission to intubation was comparable between the PT, ET, and LT groups. Tracheostomy timing was statistically significantly different between all groups.…”

“…Mortality benefits of early tracheostomy remain debatable as both the reduction of mortality and no influence on mortality were previously reported. 9,[26][27][28][29] This controversy can be attributed to the different patient cohorts. Manay et al, after evaluating patients with BCT, found that when the number of RF was !4 there was a statistically significant increase in mortality.…”

“…[1][2][3][4][5] Studies related to the timing of tracheostomy in trauma patients are relatively rare and include mixed patient populations. [6][7][8][9] Depending on the inclusion criteria, it has been reported that 17.4%-45% of trauma patients require tracheostomy. 8,10,11 Chest trauma patients with multiple displaced rib fractures (RF), bilateral fractures of the ribs, pulmonary contusion, hemothorax and/or pneumothorax, uncontrolled pain, decreased thoracic volume, reduced breathing and coughing ability, especially when accompanied by multiple co-injuries, may develop respiratory insufficiency and a need for tracheostomy.…”

Traqueostomia no doente crítico na era do consentimento livre e esclarecido

“…Cai et al 7 assessed, by meta-analysis, the outcomes of traumatic brain injury victims submitted to early and late tracheostomy, or nontracheostomized . The time limit for setting early or late was not specified.…”