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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Pro/con clinical debate: Tracheostomy is ideal for withdrawal of mechanical ventilation in severe neurological impairment. | Available online http ccforum.eom content 8 5 327 Review Pro con clinical debate Tracheostomy is ideal for withdrawal of mechanical ventilation in severe neurological impairment Luciana Mascia1 Eleomore Corno2 Pier Paok Terragni3 David Stather4 and Niall D Ferguson5 Assistant Professor Dipartimento di Discipline Medico Chirurgiche Sezione di Anestesiologia e Rianimazione University of Turin Turin Italy 2Resident Dipartimento di Discipline Medico Chirurgiche Sezione di Anestesiologia e Rianimazione University of Turin Turin Italy 3Staff Physician Dipartimento di Discipline Medico Chirurgiche Sezione di Anestesiologia e Rianimazione University of Turin Turin Italy 4Fellow Respirology and Critical Care Medicine University of Toronto Toronto Canada 5Assistant Professor Department of Medicine Division of Respirology and the Interdepartmental Division of Critical Care Medicine University Health Network and Mount Sinai Hospital University of Toronto Toronto Canada Corresponding author Editorial Office editorial@ccforum.com Published online 13 May 2004 This article is online at http ccforum.com content 8 5 327 2004 BioMed Central Ltd Critical Care 2004 8 327-330 DOI 10.1186 cc2864 Abstract Most clinical trials on the topic of extubation have involved patients outside the neurological intensive care unit. As a result in this area clinicians are left with little evidence on which to base their decision making. Although tracheostomies are increasingly common procedures they are not without complications and costs and hence a decision to perform them should not be taken lightly. In this issue of Critical Care two groups debate the merits of tracheostomy before extubation in a patient with neurological impairment. What becomes very clear is the need for more high quality data for this common clinical problem. Keywords brain injury intubation neurosurgical intensive care tracheostomy weaning The scenario You work in the neurological intensive care unit ICU and you are managing a
