Tracheostomy in the critically ill: Indications, timing and techniques

Current Opinion in Critical Care

Volumn 13, Issue 1, 2007, Pages 90-97

  Groves, Danja Strumper ^a   Durbin Jr , Charles G ^a  

^a UNIVERSITY OF VIRGINIA   (United States)

Author keywords

ICU; Intensive care; Mechanical ventilation; Percutaneous; Respiratory failure; Tracheostomy

Indexed keywords

ARTIFICIAL VENTILATION; CRITICAL ILLNESS; ENDOTRACHEAL INTUBATION; HEALTH CARE COST; HOSPITALIZATION; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MORBID OBESITY; MORBIDITY; MORTALITY; POSTOPERATIVE COMPLICATION; RESPIRATORY FAILURE; REVIEW; RISK ASSESSMENT; RISK BENEFIT ANALYSIS; TRACHEOSTOMY; TREATMENT CONTRAINDICATION; TREATMENT DURATION; TREATMENT INDICATION;

CRITICAL CARE; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; RISK FACTORS; TIME FACTORS; TRACHEOSTOMY; TREATMENT OUTCOME;

EID: 33846006933     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e328011721e     Document Type: Review

References (66)

1. Vallverdu I, Mancebo J. Approach to patients who fail initial weaning trials. Respir Care Clin N Am 2000; 6:365-384.
2. Girault C, Briel A, Hellot MF, et al. Noninvasive mechanical ventilation in clinical practice: a 2-year experience in a medical intensive care unit. Crit Care Med 2003; 31:552-559.
3. Esteban A, Frutos F, Tobin MJ, et al. A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med 1995; 332:345-350.
4. MacIntyre NR, Cook DJ, Ely EW Jr, et al. Evidence-based guidelines for weaning and discontinuing ventilatory support: a collective task force facilitated by the American College of Chest Physicians; the American Association for Respiratory Care; and the American College of Critical Care Medicine. Chest 2001; 120 (6 Suppl):375S-395S.
5. Heffner JE. The role of tracheotomy in weaning. Chest 2001; 120 (6 Suppl):477S-481S.
6. Heffner JE. Tracheotomy application and timing. Clin Chest Med 2003; 24:389-398.
7. Durbin CG Jr. Indications for and timing of tracheostomy. Respir Care 2005; 50:483-487. This is a brief review of current indications and studies comparing tracheostomy timing issues.
8. Esteller-More E, Ibanez J, Matino E, et al. Prognostic factors in laryngotracheal injury following intubation and/or tracheotomy in ICU patients. Eur Arch Otorhinolaryngol 2005; 262:880-883. This single institution study with good follow-up suggested that duration of intubation is the major predictor of laryngeal tracheal long-term injury, which averaged about 10%.
9. Plummer AL, Gracey DR. Consensus conference on artificial airways in patients receiving mechanical ventilation. Chest 1989; 96:178-180.
10. Chastre J, Bedock B, Clair B, et al. Which tracheal route should be used for mechanical ventilation in the critically ill? Thirteenth consensus conference on resuscitation and emergency medicine [in French]. Rean Urg 1998; 7:435-442.
11. Rumbak MJ, Newton M, Truncale T, et al. 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.
12. Nieszkowska A, Combes A, Luyt CE, et al. Impact of tracheotomy on sedative administration, sedation level, and comfort of mechanically ventilated intensive care unit patients. Crit Care Med 2005; 33:2527-2533. Careful measurement of sedation level in a cohort of patients supports contention that tracheostomy is more comfortable that oral intubation.
13. Diehl JL, El Atrous S, Touchard D, et al. Changes in the work of breathing induced by tracheotomy in ventilator-dependent patients. Am J Respir Crit Care Med 1999; 159:383-388.
14. Blot F, Nitenberg G, Guiguet M, et al. Safety of tracheotomy in neutropenic patients: a retrospective study of 26 consecutive cases. Intensive Care Med 1995; 21:687-690.
15. Kluge S, Meyer A, Kuhnelt P, et al. Percutaneous tracheostomy is safe in patients with severe thrombocytopenia. Chest 2004; 126:547-551.
16. McWhorter AJ. Tracheotomy: timing and techniques. Curr Opin Otolaryngol Head Neck Surg 2003; 11:473-479.
17. Colice GL. Resolution of laryngeal injury following translaryngeal intubation. Am Rev Respir Dis 1992; 145 (2 Pt 1):361-364.
18. Johnson SB, Kearney PA, Barker DE. Early criteria predictive of prolonged mechanical ventilation. J Trauma 1992; 33:95-100.
19. Gurkin SA, Parikshak M, Kralovich KA, et al. Indicators for tracheostomy in patients with traumatic brain injury. Am Surg 2002; 68:324-328; discussion 8-9.
20. Major KM, Hui T, Wilson MT, et al. Objective indications for early tracheostomy after blunt head trauma. Am J Surg 2003; 186:615-619.
21. Flaatten H, Gjerde S, Heimdal JH, Aardal S. The effect of tracheostomy on outcome in intensive care unit patients. Acta Anaesthesiol Scand 2006; 50:92-98. This large, population administrative database analysis suggested improved mortality in ICU patients having tracheostomy as well as lower costs if the tracheostomy is performed early.
22. Barquist ES, Amortegui J, Hallal A, et al. Tracheostomy in ventilator dependent trauma patients: a prospective, randomized intention-to-treat study. J Trauma 2006; 60:91-97. Early (before day 8) tracheostomy had no effect on duration of mechanical ventilation, mortality, or ventilator-associated pneumonia in this small (30 patients) randomized, prospective study of trauma patients.
23. Moller MG, Slaikeu JD, Bonelli P, et al. Early tracheostomy versus late tracheostomy in the surgical intensive care unit. Am J Surg 2005; 189:293-296. This retrospective report shows that ICU length of stay, costs and pneumonia are less if tracheostomy is performed within 7 days of intubation.
24. Hsu CL, Chen KY, Chang CH, et al. Timing of tracheostomy as a determinant of weaning success in critically ill patients: a retrospective study. Crit Care 2005; 9:R46-R52. This retrospective report suggests association of late tracheostomy, higher mortality, and failure to wean: not a surprising association.
25. Arabi Y, Haddad S, Shirawi N, Al Shimemeri A. Early tracheostomy in intensive care trauma patients improves resource utilization: a cohort study and literature review. Crit Care 2004; 8:R347-R352.
26. Sugerman HJ, Wolfe L, Pasquale MD, et al. Multicenter, randomized, prospective trial of early tracheostomy. J Trauma 1997; 43:741-747.
27. Koh WY, Lew TW, Chin NM, Wong MF. Tracheostomy in a neuro-intensive care setting: indications and timing. Anaesth Intensive Care 1997; 25:365-368.
28. Nathan SD, Ishaaya AM, Koerner SK, Belman MJ. Prediction of minimal pressure support during weaning from mechanical ventilation. Chest 1993; 103:1215-1219.
29. Jaeger JM, Littlewood KA, Durbin CG Jr. The role of tracheostomy in weaning from mechanical ventilation. Respir Care 2002; 47:469-480.
30. Bouderka MA, Fakhir B, Bouaggad A, et al. Early tracheostomy versus prolonged endotracheal intubation in severe head injury. J Trauma 2004; 57:251-254.
31. Kollef MH, Ahrens TS, Shannon W. Clinical predictors and outcomes for patients requiring tracheostomy in the intensive care unit. Crit Care Med 1999; 27:1714-1720.
32. Benjamin B. Prolonged intubation injuries of the larynx: endoscopic diagnosis, classification, and treatment. Ann Otol Rhinol Laryngol Suppl 1993; 160:1-15.
33. Volpi D, Lin PT, Kuriloff DB, Kimmelman CP. Risk factors for intubation injury of the larynx. Ann Otol Rhinol Laryngol 1987; 96:684-686.
34. Bishop MJ. Mechanisms of laryngotracheal injury following prolonged tracheal intubation. Chest 1989; 96:185-186.
35. Shelden CH, Pudenz RH, Freshwater DB, Crue BL. A new method for tracheotomy. J Neurosurg 1955; 12:428-431.
36. Ciaglia P, Firsching R, Syniec C. Elective percutaneous dilatational tracheostomy A new simple bedside procedure; preliminary report. Chest 1985; 87:715-719.
37. Simpson TP, Day CJ, Jewkes CF, Manara AR. The impact of percutaneous tracheostomy on intensive care unit practice and training. Anaesthesia 1999; 54:186-189.
38. Durbin CG Jr. Techniques for performing tracheostomy. Respir Care 2005; 50:488-496. This is a succinct review of tracheostomy techniques including open surgical as well as percutaneous approaches.
39. Toy FJ, Weinstein JD. A percutaneous tracheostomy device. Surgery 1969; 65:384-389.
40. Toye FJ, Weinstein JD. Clinical experience with percutaneous tracheostomy and cricothyroidotomy in 100 patients. J Trauma 1986; 26:1034-1040.
41. Griggs WM, Worthley LI, Gilligan JE, et al. A simple percutaneous tracheostomy technique. Surg Gynecol Obstet 1990; 170:543-545.
42. Ambesh SP, Pandey CK, Srivastava S, et al. Percutaneous tracheostomy with single dilatation technique: a prospective, randomized comparison of Ciaglia blue rhino versus Griggs' guidewire dilating forceps. Anesth Analg 2002; 95:1739-1745.
43. Fantoni A, Ripamonti D. A nonderivative, nonsurgical tracheostomy: the translaryngeal method. Intensive Care Med 1997; 23:386-392.
44. Westphal K, Maeser D, Scheifler G, et al. PercuTwist: a new single-dilator technique for percutaneous tracheostomy. Anesth Analg 2003; 96:229-232; table of contents.
45. Dulguerov P, Gysin C, Perneger TV, Chevrolet JC. Percutaneous or surgical tracheostomy: a meta-analysis. Crit Care Med 1999; 27:1617-1625.
46. Gysin C, Dulguerov P, Guyot JP, et al. Percutaneous versus surgical tracheostomy: a double-blind randomized trial. Ann Surg 1999; 230:708-714.
47. Marsh HM, Gillespie DJ, Baumgartner AE. Timing of tracheostomy in the critically ill patient. Chest 1989; 96:190-193.
48. Heffner JE. Medical indications for tracheotomy. Chest 1989; 96:186-190.
49. Heffner JE, Miller KS, Sahn SA. Tracheostomy in the intensive care unit Part 2: Complications. Chest 1986; 90:430-436.
50. Stauffer JL, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 1981; 70:65-76.
51. Shlugman D, Satya-Krishna R, Loh L. Acute fatal haemorrhage during percutaneous dilatational tracheostomy. Br J Anaesth 2003; 90:517-520.
52. Trottier SJ, Hazard PB, Sakabu SA, et al. Posterior tracheal wall perforation during percutaneous dilational tracheostomy: an investigation into its mechanism and prevention. Chest 1999; 115:1383-1389.
53. Gonzalez I, Bonner S. Routine chest radiographs after endoscopically guided percutaneous dilatational tracheostomy. Chest 2004; 125:1173-1174.
54. Smith DK, Grillone GA, Fuleihan N. Use of postoperative chest x-ray after elective adult tracheotomy. Otolaryngol Head Neck Surg 1999; 120:848-851.
55. Freeman BD, Isabella K, Lin N, Buchman TG. A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients. Chest 2000; 118:1412-1418.
56. Friedman Y, Fildes J, Mizock B, et al. Comparison of percutaneous and surgical tracheostomies. Chest 1996; 110:480-485.
57. Hazard P, Jones C, Benitone J. Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy. Crit Care Med 1991; 19:1018-1024.
58. Crofts SL, Alzeer A, McGuire GP, et al. A comparison of percutaneous and operative tracheostomies in intensive care patients. Can J Anaesth 1995; 42:775-779.
59. Holdgaard HO, Pedersen J, Jensen RH, et al. Percutaneous dilatational tracheostomy versus conventional surgical tracheostomy. A clinical randomised study. Acta Anaesthesiol Scand 1998; 42:545-550.
60. Porter JM, Ivatury RR. Preferred route of tracheostomy: percutaneous versus open at the bedside. A randomized, prospective study in the surgical intensive care unit. Am Surg 1999; 65:142-146.
61. Massick DD, Yao S, Powell DM, et al. Bedside tracheostomy in the intensive care unit: a prospective randomized trial comparing open surgical tracheostomy with endoscopically guided percutaneous dilational tracheotomy. Laryngoscope 2001; 111:494-500.
62. Delaney A, Bagshaw SM, Nalos M. Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients: a systematic review and meta-analysis. Crit Care 2006; 10:R55. This is a metaanalysis of 17 studies of open versus percutaneous suggesting best outcome with percutaneous techniques.
63. Durbin CG Jr. Early complications of tracheostomy. Respir Care 2005; 50:511-515. This is a brief review of complications related to the performance of open and percutaneous tracheostomy.
64. Bercault N, Boulain T, Kuteifan K, et al.Obesity-related excess mortality rate in an adult intensive care unit: A risk-adjusted matched cohort study. Crit Care Med 2004; 32:998-1003.
65. Heyrosa MG, Melniczek DM, Rovito P, Nicholas GG. Percutaneous tracheostomy: a safe procedure in the morbidly obese. J Am Coll Surg 2006; 202:618-622. The single institution series demonstrates no difference in safety between open or percutaneous tracheostomy in morbidly obese patients.
66. Byhahn C, Lischke V, Meininger D, et al. Peri-operative complications during percutaneous tracheostomy in obese patients. Anaesthesia 2005; 60:12-15. This is a report of 73 obese patients subjected to percutaneous tracheostomy employing a variety of techniques demonstrating higher than expected rate of complications.