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The Effect of Delay Following the Clinical Decision to Perform Tracheostomy in the Critical Care Setting.
Respir Care
March 2024
Drs Zimmerman, Helviz, and Levin are affiliated with the Critical Care Unit, Shaare Zedek Medical Center, Jeusalem, Israel and with the Hebrew University-Hadassah Medical School, Jerusalem, Israel. Dr Shaul is affiliated with the Department of Otolaryngology and Head and Neck Surgery, Shaare Zedek Medical Center, Jerusalem, Israel and with the Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Background: Tracheostomy in patients who are critically ill is generally performed due to prolonged mechanical ventilation and expected extubation failure. However, tracheostomy criteria and ideal timing are poorly defined, including equivocal data from randomized controlled trials and median intubation to tracheostomy times that range from 7-21 d. However, a consistent finding is that only ∼50% of late tracheostomy groups actually undergo tracheostomy, with non-performance due to recovery or clinical deterioration.
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