Early vs. late percutaneous tracheotomy after cardiac surgery (Ann Intern Med) - PulmCCM
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Early vs. late percutaneous tracheotomy after cardiac surgery (Ann Intern Med)

 Cardiovascular Disease, Critical Care, Interventional Pulmonology, Mechanical Ventilation, Randomized Controlled Trials  Add comments
Apr 182011
 

Trouillet et al randomized patients requiring mechanical ventilation 4 days after cardiac surgery to either immediate perc-trach, or delayed percutaneous tracheostomy at 15 days. There were no differences in ventilator-free days at 60 days, nor in survival at 28, 60, or 90 days, nor in rates of VAP; however, the early-trach group had a lower need for sedation, less delirium, and fewer unplanned extubations. Only 27% of patients in the late group actually got a tracheostomy, echoing earlier studies suggesting many early tracheostomies are unnecessary. (n=216) Ann Intern Med 2011;154:373-383.

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