Brit J Hosp Med
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This article reviews the current literature and practice of tracheostomy with consideration of timing and the benefits of early tracheostomy, taking account of the results from the recent TracMan study.
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Acute exacerbations of chronic obstructive pulmonary disease (COPD) causing respiratory failure are associated with mortality rates of up to 26%. A new Royal College of Physicians guideline aims to impart standards and practical advice to those providing a non-invasive ventilation service for these patients. This article examines the guideline.