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Tracheostomy in intensive care setting
Author(s) -
Dayal Vijay S.,
Masri William El
Publication year - 1986
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198601000-00010
Subject(s) - medicine , intubation , incidence (geometry) , intensive care unit , orotracheal intubation , intensive care , critically ill , tracheal stenosis , tracheal intubation , intensive care medicine , anesthesia , surgery , airway , physics , optics
Abstract A detailed analysis of early complications resulting from tracheostomy in 50 consecutive patients, admitted to the Intensive Care Unit, who had required ototracheal intubation, is presented. The very low incidence of complications seen in this study supports the contention that a carefully performed tracheostomy is a safe procedure in the management of these critically ill patients. In view of this and the greater incidence of laryngeal and tracheal stenosis associated with longer periods of orotracheal intubation followed by tracheostomy, early tracheostomy should be considered in patients intubated for five days in whom further prolonged respiratory assistance is anticipated.