When Should a Mechanically Ventilated Patient Undergo Tracheostomy?
医学
气管切开术
重症监护医学
外科
作者
Derek C. Angus
出处
期刊:JAMA [American Medical Association] 日期:2013-05-22卷期号:309 (20): 2163-2163被引量:22
标识
DOI:10.1001/jama.2013.6014
摘要
Each year, approximately 800 000 US residents undergo mechanical ventilation for acute respiratory insufficiency, often for a period of days or weeks.1 Although mechanical ventilation can be lifesaving, it is unnatural and invasive, can be extremely uncomfortable, and requires expensive intensive care support. Endotracheal intubation is the most efficient and convenient method by which to initiate mechanical ventilation. However, intubation is often not well tolerated by an awake patient; is prone to potentially disastrous dislodgement; and interferes with oral care, feeding, and communication.