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Research ArticleSymposium Papers

Indications for and Timing of Tracheostomy

Charles G Durbin
Respiratory Care April 2005, 50 (4) 483-487;
Charles G Durbin Jr
Department of Anesthesiology, University of Virginia Health Science Center, Charlottesville, Virginia.
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Abstract

Tracheostomy is one of the most common intensive care unit procedures performed. The advantages include patient comfort, safety, ability to communicate, and better oral and airway care. Patients may have shorter intensive care unit stays, days of mechanical ventilation, and hospital stays. There are risks, long-term and acute, and the timing of when to do a tracheostomy must be individualized. As soon as the need for prolonged airway access is identified, the tracheostomy should be considered. Generally, this decision can be made within 7–10 days. Bedside techniques allow rapid tracheostomy with low morbidity.

  • tracheostomy
  • acute respiratory failure
  • mechanical ventilation
  • weaning
  • artificial airway

Footnotes

  • Correspondence: Charles G Durbin Jr MD FAARC, Department of Anesthesiology, University of Virginia Health Science Center, PO Box 800710, Charlottesville VA 22908-0170. E-mail: cgd8v{at}virginia.edu.
  • Charles G Durbin Jr MD FAARC presented a version of this paper at the 20th Annual New Horizons Symposium at the 50th International Respiratory Congress, held December 4–7, 2004, in New Orleans, Louisiana.

  • Copyright © 2005 by Daedalus Enterprises Inc.
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Respiratory Care: 50 (4)
Respiratory Care
Vol. 50, Issue 4
1 Apr 2005
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Indications for and Timing of Tracheostomy
Charles G Durbin
Respiratory Care Apr 2005, 50 (4) 483-487;

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Indications for and Timing of Tracheostomy
Charles G Durbin
Respiratory Care Apr 2005, 50 (4) 483-487;
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Keywords

  • tracheostomy
  • acute respiratory failure
  • mechanical ventilation
  • weaning
  • artificial airway

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