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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: Bench-to-bedside review: Early tracheostomy in critically ill trauma patients. | Available online http ccforum.eom content 10 1 201 Review Bench-to-bedside review Early tracheostomy in critically ill trauma patients Nehad Shirawi1 and Yaseen Arabi2 Associate consultant Intensive Care Department King Abdulaziz Medical City Riyadh Kingdom of Saudi Arabia 2Consultant and Deputy Chairman Intensive Care Department Assistant Professor King Abdulaziz Bin Saud University King Abdulaziz Medical City Riyadh Kingdom of Saudi Arabia Corresponding author Yaseen Arabi arabi@ngha.med.sa Published 17 October 2005 This article is online at http ccforum.com content 10 1 201 2005 BioMed Central Ltd Critical Care 2006 10 201 doi 10.1186 cc3828 Abstract A significant proportion of trauma patients require tracheostomy during intensive care unit stay. The timing of this procedure remains a subject of debate. The decision for tracheostomy should take into consideration the risks and benefits of prolonged endotracheal intubation versus tracheostomy. Timing of tracheostomy is also influenced by the indications for the procedure which include relief of upper airway obstruction airway access in patients with cervical spine injury management of retained airway secretions maintenance of patent airway and airway access for prolonged mechanical ventilation. This review summarizes the potential advantages of tracheostomy versus endotracheal intubation the different indications for tracheostomy in trauma patients and studies examining early versus late tracheostomy. It also reviews the predictors of prolonged mechanical ventilation which may guide the decision regarding the timing of tracheostomy. Introduction Trauma is currently one of the most important causes of morbidity and mortality in the age group between 15 to 35 years 1 . About 500 000 people are hospitalized yearly in the United States as a result of motor vehicular accident-related injuries 1 . In addition motor vehicle-related deaths and injuries cost the United States more than 150 billion each year 1 . According
