Tracheostomy decannulation: Key practical aspects

Antonello Nicolini, Ines Maria Grazia Piroddi, Sofia Karamichali, Paolo Banfi, Antonio M. Esquinas

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Tracheostomy is one of the most frequently performed procedures in the intensive care unit (ICU) [1], especially after the introduction of percutaneous techniques [2]. It is performed in critically ill patients to protect the airway, remove secretions, or provide ventilatory support [3].The indications for placement of a tracheostomy tube include failure to wean from invasive mechanical ventilation, impaired neurologic status, an inability to handle excessive secretions, and the need to bypass an upper-airway obstruction [4]. In addition, the placement of a tracheostomy tube facilitates the transfer of the patient from the ICU to a weaning facility such as a step-down unit or a long-term care hospital [5].

Original languageEnglish
Title of host publicationNoninvasive Mechanical Ventilation and Difficult Weaning in Critical Care: Key Topics and Practical Approaches
PublisherSpringer International Publishing
Pages313-320
Number of pages8
ISBN (Print)9783319042596, 9783319042589
DOIs
Publication statusPublished - Jan 1 2016

ASJC Scopus subject areas

  • Medicine(all)

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    Nicolini, A., Piroddi, I. M. G., Karamichali, S., Banfi, P., & Esquinas, A. M. (2016). Tracheostomy decannulation: Key practical aspects. In Noninvasive Mechanical Ventilation and Difficult Weaning in Critical Care: Key Topics and Practical Approaches (pp. 313-320). Springer International Publishing. https://doi.org/10.1007/978-3-319-04259-6_40