Surgical Airway management in Critically ill Patients: A Review article
Tracheostomy is among the most frequently performed procedures in critically ill patients, being done in medical and surgical intensive care units (ICUs).1,2,3,4., there is little agreement on the indications, timing of tracheostomy in critically ill patients. The most common indication for tracheostomy in the ICU is need for prolonged mechanical ventilation.7, 8. Tracheostomy has several advantages over endotracheal intubation, Recent ACCP (American college of chest physicians) guidelines 22 suggest that tracheostomy should be considered after an initial period of stabilization on the ventilator, when it becomes apparent that the patient will require prolonged ventilator assistance. Despite having been a known about the complications of prolong ETT insitu, the specifics of how, when, and why to perform a surgical airway are still debated. New methods of surgical airway management have to be evaluated against the gold standard, which will always be the open tracheostomy. Today we have to evaluate these new procedures not only by their efficacy but also by their cost effectiveness.
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