The timing of performing a tracheostomy in patients needing prolonged mechanical ventilation has been the subject of many studies over the years. This review surveys the published literature on this topic and describes the findings from the most recent multicenter randomized trials. These data are then used to form the most up-to-date conclusions regarding best practices to guide decisions on timing of tracheostomy in ventilated ICU patients.
El-NaggarMSadagopanSLevineHKantorHCollinsVJ. Factors influencing choice between tracheostomy and prolonged translaryngeal intubation in acute respiratory failure: a prospective study. Anesth Analg. 1976;55:195-201.
2.
MarshHMGillespieDJBaumgartnerAE. Timing of tracheostomy in the critically ill patient. Chest. 1989;96:190-193.
3.
RodriguezJLSteinbergSMLuchettiFAGibbonsKJTaheriPAFlintLM. Early tracheostomy for primary airway management in the surgical critical care setting. Surgery. 1990;108:655-659.
4.
SugermanHJWolfeLPasqualeMD. Multicenter, randomized, prospective trial of early tracheostomy. J Trauma. 1997;43:741-747.
5.
SaffleJRMorrisSEEdelmanL. Early tracheostomy does not improve outcome in burn patients. J Burn Care Rehabil. 2002;23:431-438.
6.
RumbakMJNewtonMTruncaleTSchwartzSWAdamsJWHazardPB. A prospective, randomized, study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med. 2004;32:1689-1694.
7.
ScalesDCThiruchelvamDKissARedelmeierDA. The effect of tracheostomy timing during critical illness on long-term survival. Crit Care Med. 2008;36:2547-2557.
8.
TerragniPPAntonelliMFumagalliR. Early vs. late tracheotomy for prevention of pneumonia in mechanically ventilated adult ICU patients: a randomized controlled trial. JAMA. 2010;303:1483-1489.
9.
ScalesDCFergusonND. Early vs late tracheotomy in ICU patients. JAMA. 2010;303:1537-1538.
10.
ShirawiNArabiY. Bench-to-bedside review: early tracheostomy in critically ill trauma patients. Crit Care. 2006;10:201.
11.
NieszkowskaACombesALuytCE. Impact of tracheotomy on sedative administration, sedation level, and comfort of mechanically ventilated intensive care unit patients. Crit Care Med. 2005;33:2527-2533.
12.
FlaattenHGjerdeSHeimdalJHAardalS. The effect of tracheostomy on outcome in intensive care unit patients. Acta Anaesthesiol Scand. 2006;50:92-98.
13.
HolevarMDunhamJCBrautiganR. Practice management guidelines for timing of tracheostomy: the EAST Practice Management Guidelines Work Group. J Trauma. 2009;67:870-874.
14.
BlotFSimilowskiTTrouilletJL. Early tracheotomy versus prolonged endotracheal intubation in unselected severely ill ICU patients. Intensive Care Med. 2008;34:1779-1787.
15.
DunhamCMRansomKJ. Assessment of early tracheostomy in trauma patients: a systematic review and meta-analysis. Am Surg. 2006;72:276-281.
16.
GriffithsJBarberVSMorganLYoungJD. Systematic review and meta-analysis of studies of the timing of tracheostomy in adult patients undergoing artificial ventilation. BMJ. 2005;330:1243.
17.
BouderkaMAFakhirBBouaggadAHmamouchiBHamoudiDHartiA. Early tracheostomy versus prolonged endotracheal intubation in severe head injury. J Trauma. 2004;57:251-254.
18.
GrovesDSDurbinCGJr. Tracheostomy in the critically ill: indications, timing and techniques. Curr Opin Crit Care. 2007;13:90-97.
