PulmCCM

Share this post

Early vs. late percutaneous tracheotomy after cardiac surgery

www.pulmccm.org

Discover more from PulmCCM

Life, death and the ICU
Over 39,000 subscribers
Continue reading
Sign in

Early vs. late percutaneous tracheotomy after cardiac surgery

...
Apr 18, 2011
Share this post

Early vs. late percutaneous tracheotomy after cardiac surgery

www.pulmccm.org
Share

Trouillet et al randomized patients requiring mechanical ventilation 4 days after cardiac surgery to either immediate perc-trach, or delayed percutaneous tracheostomy at 15 days. There were no differences in ventilator-free days at 60 days, nor in survival at 28, 60, or 90 days, nor in rates of VAP; however, the early-trach group had a lower need for sedation, less delirium, and fewer unplanned extubations. Only 27% of patients in the late group actually got a tracheostomy, echoing earlier studies suggesting many early tracheostomies are unnecessary. (n=216) Ann Intern Med 2011;154:373-383.

Share this post

Early vs. late percutaneous tracheotomy after cardiac surgery

www.pulmccm.org
Share
Previous
Next
Comments
Top
New
Community

No posts

Ready for more?

© 2023 PulmCCM
Privacy ∙ Terms ∙ Collection notice
Start WritingGet the app
Substack is the home for great writing