Indications and timing for tracheotomy in the patients with mechanical ventilation
10.3760/cma.j.issn.1673-4203.2012.02.015
- VernacularTitle:机械通气患者气管切开术的适应证、时机与方式
- Author:
Feng SUI
;
Wenxiong LI
- Publication Type:Journal Article
- Keywords:
Tracheotomy;
Mechanical ventilation;
Percutaneous;
Early
- From:
International Journal of Surgery
2012;39(2):122-125
- CountryChina
- Language:Chinese
-
Abstract:
Nowadays there are still a lot of controversies about indications methods and timing for tracheotomy in the patients who need long-term mechanical ventilation.Some recent studies have shown that early tracheostomy can increase patient comfort compliance and may reduce the use of sedatives,decrease ventilator associated pneumonia occurrence,reduce duration of mechanical ventilation and ICU stay.Presently we consider that the early tracheostomy may benefit patients needing long-term mechanical ventilation,and percutaneous dilational tracheostomy is a better way of tracheotomy,however we need to correctly grasp the indications.