Resp Care
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A North American survey of respiratory therapist and physician tracheostomy decannulation practices.
Tracheostomy is a common surgical procedure performed on critically ill patients. However, little is known about how clinicians make decisions to decannulate patients, and whether similar decisions are made by respiratory therapists (RTs) and physicians. ⋯ Important differences exist in the decannulation practices of North American RTs and physicians. Evidence-based tracheostomy guidelines are needed to facilitate the safe and effective management of patients with tracheostomies.
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Editorial Comment
Toward leaner tracheostomy care: first observe, then improve.