• Crit Care · Oct 2004

    Pro/con clinical debate: tracheostomy is ideal for withdrawal of mechanical ventilation in severe neurological impairment.

    • Luciana Mascia, Eleomore Corno, Pier Paok Terragni, David Stather, and Niall D Ferguson.
    • Crit Care. 2004 Oct 1;8(5):327-30.

    AbstractMost clinical trials on the topic of extubation have involved patients outside the neurological intensive care unit. As a result, in this area clinicians are left with little evidence on which to base their decision making. Although tracheostomies are increasingly common procedures, they are not without complications and costs, and hence a decision to perform them should not be taken lightly. In this issue of Critical Care two groups debate the merits of tracheostomy before extubation in a patient with neurological impairment. What becomes very clear is the need for more high quality data for this common clinical problem.

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