Early versus late tracheostomy for critically ill patients: A clinical evidence synopsis of a recent Cochrane Review
نویسنده
چکیده
The author questioned whether an early tracheostomy (within 10 days of intubation) was associated with lower mortality compared with a late tracheostomy for long-term mechanically ventilated patients. The present brief review of eight studies revealed that individuals receiving early tracheostomies had slightly lower mortality rates compared with those who received late tracheostomies. More standardized research is needed. However, if a patient is expected to need long-term mechanical ventilation, a tracheostomy should be performed before the 10-day mark.
منابع مشابه
Early versus late tracheostomy for critically ill patients.
BACKGROUND Long-term mechanical ventilation is the most common situation where tracheostomy is indicated for patients in intensive care units (ICU). 'Early' and 'late' tracheostomies are two categories of the timing of tracheostomy. The evidence on the advantages attributed to early over late tracheostomy is somewhat conflicting but includes shorter hospital stays and lower mortality rates. O...
متن کاملEff ect of early versus late or no tracheostomy on mortality of critically ill patients receiving mechanical ventilation: a systematic review and meta-analysis
Background Delay of tracheostomy for roughly 2 weeks after translaryngeal intubation of critically ill patients is the presently recommended practice and is supported by fi ndings from large trials. However, these trials were suboptimally powered to detect small but clinically important eff ects on mortality. We aimed to assess the mortality benefi t of early versus late or no tracheostomy in c...
متن کاملReview: early tracheostomy is not better than late tracheostomy for reducing all-cause mortality in critically ill patients.
M e t h o d s Data sources: MEDLINE, CINAHL, EMBASE/Excerpta Medica, Cochrane Central Register of Clinical Trials, National Research Register, the National Health Service Trusts Clinical Trials Register, Medical Research Council U.K. database, National Health Service Research and Development Health Technology Assessment Programme, and British Heart Foundation database (last search in November 2...
متن کاملSystematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation.
OBJECTIVE To compare outcomes in critically ill patients undergoing artificial ventilation who received a tracheostomy early or late in their treatment. DATA SOURCES The Cochrane Central Register of Clinical Trials, Medline, Embase, CINAHL, the National Research Register, the NHS Trusts Clinical Trials Register, the Medical Research Council UK database, the NHS Research and Development Health...
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INTRODUCTION Tracheostomy is one of the more commonly performed procedures in critically ill patients yet the optimal method of performing tracheostomies in this population remains to be established. The aim of this study was to systematically review and quantitatively synthesize all randomized clinical trials (RCTs), comparing elective percutaneous dilatational tracheostomy (PDT) and surgical ...
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