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- W143724238 abstract "Although tracheostomy is considered to be the most common surgical procedure performed on critically ill patients, there is no general consensus as to when a tracheostomy tube can be safely removed. It is reported that approximately 10% of mechanically ventilated critically ill patients need tracheostomy for prolonged airway and ventilatory support. Prolonged tracheostomy tube placement may lead to increased risk of late complications, including tracheal stenoses, bleeding, fistulas, infections, accidental dislodgement, and mechanical problems with cuff, aspiration and pulmonary complications. In general, majority of patients with tracheostomy who are discharged from Intensive care units (ICU) can be successively decannulated. Literature shows a considerable diversity in criteria for decannulation. It is a multifactorial process and the protocols may vary from one setting to another. Respiratory therapists and physicians and Otolaryngologists are the group of clinicians most directly involved in decannulation process. Considerable differences in their decannulation practices are observed which necessitates the need for the development tracheostomy decannulation guidelines which can be applied in different clinical settings in which tracheostomy was performed. This paper aims to review this process and evolve a method which can be applied in different clinical settings." @default.
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- W143724238 date "2015-01-01" @default.
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- W143724238 title "Tracheostomy Decannulation: When and How?" @default.
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