Tracheostomy update on why, when and how (2024) Giulia Laisa

Description

This review summarizes available data regarding the use of tracheostomy in Intensive Care Unit (ICU) patients requiring prolonged mechanical ventilation or suffering loss of airway protection. It discusses the advantages (facilitated weaning, reduced sedation, improved mobilization) and risks (mortality, complications like tracheal stenosis), emphasizing that a personalized, step-by-step approach is crucial for determining the optimal timing and technique, recommending the percutaneous single dilator technique under fibroscopic guidance when training is adequate.