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From Open to Bedside Percutaneous Tracheostomy
Biniam Kidane1, Andrew F Pierre2
1Section of Thoracic Surgery, University of Manitoba, Health Sciences Centre, GE611-820 Sherbrook Street, Winnipeg, Manitoba R3A 1R9, Canada.
Abstract:
Tracheostomies can potentially facilitate easier and more successful weaning from the ventilator in patients that are anticipated to require prolonged ventilation. Other benefits include improvements in patient communication, quality of life, and reduced injury to vocal folds. In addition to potential benefits, we discuss complications associated with tracheostomy. Following that is a discussion of the evidence regarding early versus late tracheostomy as well as open versus percutaneous approaches. We then describe and discuss the different percutaneous tracheostomy techniques.
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