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Research ArticleConference Proceedings

Should Tracheostomy Be Performed as Early as 72 Hours in Patients Requiring Prolonged Mechanical Ventilation?

Charles G Durbin, Michael P Perkins and Lisa K Moores
Respiratory Care January 2010, 55 (1) 76-87;
Charles G Durbin Jr
Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia.
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  • For correspondence: [email protected]
Michael P Perkins
Department of Pulmonary, Critical Care, and Sleep Medicine, Walter Reed Army Medical Center, Washington DC.
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Lisa K Moores
Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
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    Fig. 1.

    Relationship between day when tracheostomy was performed and hospital stay, total days of ventilation, intensive care unit (ICU) stay, and frequency of pneumonia. (Adapted from Reference 7.)

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    Fig. 2.

    Meta-analysis of all the included studies of early versus late tracheostomy. A: Pneumonia rate. B: Mortality.

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    Fig. 3.

    Meta-analysis of only the high-quality studies of early versus late tracheostomy. A: Pneumonia rate. B: Mortality.

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    Fig. 4.

    Suggested tracheostomy algorithm. The acute respiratory distress syndrome (ARDS) score is based on data collected on day 4 and day 7 of ARDS, and includes ratio of arterial to alveolar PO2, required positive end-expiratory pressure, and chest radiograph progression.

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Respiratory Care: 55 (1)
Respiratory Care
Vol. 55, Issue 1
1 Jan 2010
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Should Tracheostomy Be Performed as Early as 72 Hours in Patients Requiring Prolonged Mechanical Ventilation?
Charles G Durbin, Michael P Perkins, Lisa K Moores
Respiratory Care Jan 2010, 55 (1) 76-87;

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Should Tracheostomy Be Performed as Early as 72 Hours in Patients Requiring Prolonged Mechanical Ventilation?
Charles G Durbin, Michael P Perkins, Lisa K Moores
Respiratory Care Jan 2010, 55 (1) 76-87;
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Keywords

  • respiratory failure
  • tracheostomy
  • intubation
  • mechanical ventilation
  • weaning
  • critical care
  • timing

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