BACKGROUND This study aimed to analyze and describe the morbidity and mortality associated with tracheostomy in patients with oral cancer and to identify the risk factors associated with tracheostomy complications. METHODS We performed a retrospective chart review of patients who underwent tracheostomy during a major oral cancer resection between March 2001 and January 2016 at the National Ca...

Introduction Tracheostomy is the commonest surgical procedure in intensive care units (ICUs). It not only provides stable airway and facilitates pulmonary toilet and ventilator weaning, but also decreases the direct laryngeal injury of endotracheal intubation, and improves patient comfort and daily living activity. Objective The objective of this study is to assess the incidence, indications, t...

Background Stroke patients requiring decompressive craniectomy are at high risk of prolonged mechanical ventilation and ventilator-associated pneumonia (VAP). Tracheostomy placement may reduce the duration of mechanical ventilation. Predicting which patients will require tracheostomy and the optimal timing of tracheostomy remains a clinical challenge. In this study, the authors compare key outc...

STATEMENT OF THE PROBLEM The ideal time for performing a tracheostomy has not been clearly established. Periods ranging from 3 days to 3 weeks have been suggested in the literature. With current operative methods, it has been established that tracheostomy can be performed with a low rate of complications. In a review of 281 tracheostomies, as well as another 2,862 cases in the literature, Zeito...

Tracheostomy is an invasive procedure that creates a surgical airway in the cervical trachea and is commonly performed in critically ill patients requiring prolonged mechanical ventilation (MV). Although it is an invasive surgical procedure it has many potential benefits, including reduced sedation requirements, airway security, reduced dead space and airway resistance and improved patient comf...

Complications from surgical procedures are common and must be taken into account when assessing the risks and benefits of a particular treatment approach. Common acute risks of tracheostomy include bleeding, airway loss, damage to adjacent structures, and failure of the chosen technique to achieve successful airway placement. The frequency and severity of these occurrences depends on several fa...

BACKGROUND AND PURPOSE Mechanical ventilation after stroke is associated with high mortality. However, little is known about survivors who require prolonged ventilatory assistance and tracheostomy. Our goal was to assess the rate of pulmonary complication, effect of early tracheostomy and prognosis of patients with stroke requiring prolonged ventilatory support. METHODS Retrospective review o...

IMPORTANCE Tracheostomy is a widely used intervention in adult critical care units. There is little evidence to guide clinicians regarding the optimal timing for this procedure. OBJECTIVE To test whether early vs late tracheostomy would be associated with lower mortality in adult patients requiring mechanical ventilation in critical care units. DESIGN AND SETTING An open multicentered rando...

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 sta...

Objectives: The optimal timing for tracheostomy after cardiac surgery in patients undergoing prolonged ventilation is controversial. The aim of this study was to assess the effect of tracheostomy timing on shortand long-term mortality of these patients. Design: Retrospective study of prospectively collected data. Setting: Cardiac surgical intensive care unit (ICU) in a tertiary-care, university...