OBJECTIVE To assess the effect of timing and techniques of tracheostomy on morbidity, mortality, and the burden of resources in patients with acute traumatic spinal cord injuries (SCls) undergoing mechanical ventilation. DESIGN Review of a prospectively collected database. SETTING Intensive and intermediate care units of a monographic hospital for the treatment of SCI. PARTICIPANTS Consec...

INTRODUCTION Despite the integral role played by tracheostomy in the management of trauma patients admitted to intensive care units (ICUs), its timing remains subject to considerable practice variation. The purpose of this study is to examine the impact of early tracheostomy on the duration of mechanical ventilation, ICU length of stay, and outcomes in trauma ICU patients. METHODS The followi...

OBJECTIVE This study aimed to determine the optimal time for tracheostomy by evaluating the benefits and safety of early versus late tracheostomy in spinal cord injury (SCI) patients. METHODS We retrospectively reviewed a total of 254 patients with spinal cord injury. Of them, we selected 21 spinal cord injury patients who required tracheostomy due to long-term mechanical ventilation and anal...

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...

Tracheostomy is a common critical care procedure in patients with acute respiratory failure who require prolonged mechanical ventilatory support. Tracheostomy usually is considered if weaning from mechanical ventilation has been unsuccessful for 14 to 21 days. A recent clinical trial suggested that early tracheostomy may benefit patients who are not improving and who are expected to require pro...

BACKGROUND Tracheostomy is common in intensive care unit patients, but the appropriate timing is controversial. OBJECTIVE To determine whether earlier tracheostomy is associated with greater long-term survival. DESIGN Retrospective cohort analysis. SETTING Acute care hospitals in Ontario, Canada (n = 114). PATIENTS All mechanically ventilated intensive care unit patients who received tr...

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...

The incidence, aetiology and long term outcomes of laryngotracheal complications secondary to Tracheostomy insertion in patients ventilated for COVID-19 critical Illness are currently unknown. We report a single case from our institutional series who developed early subglottic stenosis subsequent traceomalacia preventing permanent tracheostomy removal despite three decannulation attempts. consi...

OBJECTIVES To compare the results of early versus late tracheostomy in trauma patients admitted to intensive care unit (ICU). METHODS  This was case control study being performed at a major trauma centre in Shiraz, Iran including 120 trauma patients admitted to ICU during a 2-year period and underwent tracheostomy during their ICU stay. The patients were categorized into two groups of the ear...