• Clinics in chest medicine · Mar 2001

    Review

    Tracheostomy management in the chronically ventilated patient.

    • J E Heffner and D Hess.
    • Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA. heffnerj@musc.edu
    • Clin. Chest Med. 2001 Mar 1;22(1):55-69.

    AbstractTracheotomy is a fundamentally important technique for managing patients who require long-term mechanical ventilation. Appropriate application of tracheotomy requires a skilled approach for timing the procedure, selecting the appropriate tracheostomy tube appliance, caring for the artificial airway once it is in place, and assisting patients with their specialized needs, such as articulated speech, airway humidification, and oral nutrition. Preparing patients for airway decannulation after they have weaned from mechanical ventilation requires a similar level of skill and attention to detail.

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