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Colegio de Medicina Interna de México.

2016, Number 4

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Med Int Mex 2016; 32 (4)

The role of early tracheostomy in the critically ill patient

Mata-Vicente JF

Language: Spanish
References: 27
Page: 446-454
PDF size: 486.12 Kb.


ABSTRACT

Although lots of work has been done to assess the benefits of early tracheostomy, the heterogeneity of these studies is evident; although the opinion among clinicians is that tracheotomy allows enteral feeding (oral), improves communication with patients, allows early ambulation and facilitates cleaning and pulmonary physiotherapy, there are major differences between authors reporting benefits, prosbut also respect to the incidence of pneumonia and/or mortality, which are also important variables. Benefits of early tracheostomy respect to the days of total hospital stay, days of ICU stay and duration of mechanical ventilation have been studied, among many other variables. Diagnosing a disease that requires tracheotomy when this is done in critically ill patients has, on average, five times greater impact on reducing costs. This paper aims to give an overview that allows the clinician to decide the appropriate time to perform the procedure.


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