Abstract

CARNERO ECHEGARAY, Joaquín; MOTTI, Victoria  and  GIL ROSSETTI, Gregorio. Predictors for the removal of the tracheostomy tube. Rev. am. med. respir. [online]. 2022, vol.22, n.3, pp.318-328. ISSN 1852-236X.  http://dx.doi.org/https://doi.org/10.56538/rase9918.

It is essential to prioritize the decannulation of tracheostomized patients. A successful procedure could avoid prolonged hospital stay. Accordingly, there could be a reduction in mortality. Removing the tracheotomy cannula is a very controversial issue, because there are different types of strategies and approaches to do so. The prolonged use of the cannula must be avoided, since it entails different complications such as tracheal malacia, tracheal stenosis, tracheoesophageal fistula, and functionally altered swal lowing and phonation; thus, it is very important to be able to know exactly which are the variables that need to be measured before a patient is decannulated. Several pub lished studies disagree on which are the best indicators that should be observed to be successful. So, the objective of this review was to analyze which are the most effective target variables when performing the decannulation.

Keywords : Tracheostomy; Decannulation; Intensive care Unit.

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