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Updated: May 17, 2026
04:43
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
[Non-invasive ventilation era: is there still a place for long-term tracheostomy?]
1UPRES EA 3830, unité de soins intensifs respiratoires, service de pneumologie, institut hospitalo-universitaire de recherche biomédicale et d'innovation, université de Rouen, CHU de Rouen, 76031 Rouen cedex, France. Jean-Francois.Muir@chu-rouen.fr
Revue Des Maladies Respiratoires
|October 30, 2012
Summary
Long-term tracheostomy (LTVT) is less common due to non-invasive ventilation (NIV) but remains crucial for specific respiratory distress cases. Tracheostomy can be a temporary solution, with potential for decannulation after LTVT.
Area of Science:
- Respiratory Medicine
- Critical Care
- Pulmonology
Context:
- Non-invasive ventilation (NIV) is widely adopted for acute and chronic respiratory failure.
- The role of long-term tracheostomy (LTVT) requires re-evaluation in the context of advanced NIV techniques.
- Historical data on LTVT needs to be interpreted alongside contemporary NIV outcomes.
Purpose:
- To assess the current indications and relevance of long-term tracheostomy (LTVT) in respiratory care.
- To compare the efficacy and outcomes of LTVT with modern non-invasive ventilation (NIV) strategies.
- To explore the potential for decannulation after LTVT.
Summary:
- Indications for LTVT have significantly decreased with the advent of NIV.
- LTVT is still essential in emergencies and for patients with severe bulbar signs or prolonged NIV dependence (>20 hours/day).
- Recent studies suggest decannulation is possible after LTVT, highlighting its potential as a temporary measure.
Impact:
- Provides a contemporary perspective on the place of LTVT in respiratory failure management.
- Informs clinical decision-making regarding tracheostomy versus NIV.
- Highlights LTVT as a viable, potentially temporary, resource in select respiratory distress scenarios.
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