Evidence-based guidelines for the use of tracheostomy in critically ill patients

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dc.contributor.authorRaimondi, Néstor
dc.contributor.authorVial, Macarena
dc.contributor.authorCalleja, José
dc.contributor.authorQuintero, Agamenón
dc.contributor.authorCortés, Albán
dc.contributor.authorCelis, Edgar
dc.contributor.authorPacheco, Clara
dc.contributor.authorUgarte, Sebastián
dc.contributor.authorAñón, José María
dc.contributor.authorHernández, Gonzalo
dc.contributor.authorVidal, Erick
dc.contributor.authorChiappero, Guillermo
dc.contributor.authorRíos, Fernando
dc.contributor.authorCastilleja, Fernando
dc.contributor.authorMatos, Alfredo
dc.contributor.authorRodriguez, Enith
dc.contributor.authorAntoniazzi, Paulo
dc.contributor.authorTeles, José Mario
dc.contributor.authorDueñas, Carmelo
dc.contributor.authorSinclair, Jorge
dc.contributor.authorMartínez, Lorenzo
dc.contributor.authorvon der Osten, Ingrid
dc.contributor.authorVergara, José
dc.contributor.authorJiménez, Edgar
dc.contributor.authorArroyo, Max
dc.contributor.authorRodríguez, Camilo
dc.contributor.authorTorres, Javier
dc.contributor.authorFernández‐Bussy, Sebastián
dc.contributor.authorNates, Joseph
dc.date.accessioned2017-08-28T18:32:33Z
dc.date.available2017-08-28T18:32:33Z
dc.date.issued2017
dc.description.abstractObjectives To provide evidence-based guidelines for tracheostomy in critically ill adult patients and identify areas needing further research. Methods A taskforce composed of representatives of 10 member countries of the Pan-American and Iberic Federation of Societies of Critical and Intensive Therapy Medicine and of the Latin American Critical Care Trial Investigators Network developed recommendations based on the Grading of Recommendations Assessment, Development and Evaluation system. Results The group identified 23 relevant questions among 87 issues that were initially identified. In the initial search, 333 relevant publications were identified, of which 226 publications were chosen. The taskforce generated a total of 19 recommendations, 10 positive (1B, 3; 2C, 3; 2D, 4) and 9 negative (1B, 8; 2C, 1). A recommendation was not possible in 6 questions. Conclusions Percutaneous techniques are associated with a lower risk of infections compared with surgical tracheostomy. Early tracheostomy only seems to reduce the duration of ventilator use but not the incidence of pneumonia, the length of stay, or the long-term mortality rate. The evidence does not support the use of routine bronchoscopy guidance or laryngeal masks during the procedure. Finally, proper prior training is as important or even a more significant factor in reducing complications than the technique used.
dc.format.extent15
dc.identifier.citationRaimondi N, Vial MR, Calleja J, Quintero A, Cortés A, Celis E, Pacheco C, Ugarte S, Añón JM, Hernández G, Vidal E, Chiappero G, Ríos F, Castilleja F, Matos A, Rodriguez E, Antoniazzi P, Teles JM, Dueñas C, Sinclair J, Martínez L, von der Osten I, Vergara J, Jiménez E, Arroyo M, Rodríguez C, Torres J, Fernandez-Bussy S, Nates JL; FEPIMCTI and LACCTIN. Evidence-based guidelines for the use of tracheostomy in critically ill patients. J Crit Care. 2017 Apr;38:304-318
dc.identifier.urihttp://hdl.handle.net/11447/1607
dc.identifier.urihttp://doi.org/10.1016/j.jcrc.2016.10.009
dc.language.isoen_US
dc.publisherElsevier
dc.subjectTracheostomy
dc.subjectClinical guidelines
dc.subjectConsensus
dc.subjectPercutaneous
dc.subjectCritical care
dc.subjectIntensive care unit
dc.titleEvidence-based guidelines for the use of tracheostomy in critically ill patients
dc.typeArtículo

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