Pediatr Crit Care Me
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Pediatr Crit Care Me
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Pediatr Crit Care Me · Nov 2023
Tracheostomy Timing During Pediatric Cardiac Intensive Care: Single Referral Center Retrospective Cohort.
To describe associations between the timing of tracheostomy and patient characteristics or outcomes in the cardiac ICU (CICU). ⋯ CICU patients who underwent tracheostomy had high in-hospital and longer-term mortality rates. Tracheostomy timing decisions are influenced by indication, disease, genetic comorbidities, illness severity, and age. Earlier tracheostomy was associated with lower sedative use and improved adjusted survival. Tracheostomy placement is a complex decision demanding individualized consideration of risk-benefit profiles and thoughtful family counseling.