The practice of tracheostomy decannulation—a systematic review

Decannulation is an essential step towards liberating tracheostomized patients from mechanical ventilation. However, despite its perceived importance, there is no universally accepted protocol for this vital transition. Presence of an intact sensorium coordinated swallowing and protective coughing a...

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Detalles Bibliográficos
Autores principales: Singh, Ratender Kumar, Saran, Sai, Baronia, Arvind K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5477679/
https://www.ncbi.nlm.nih.gov/pubmed/28649385
http://dx.doi.org/10.1186/s40560-017-0234-z
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author Singh, Ratender Kumar
Saran, Sai
Baronia, Arvind K.
author_facet Singh, Ratender Kumar
Saran, Sai
Baronia, Arvind K.
author_sort Singh, Ratender Kumar
collection PubMed
description Decannulation is an essential step towards liberating tracheostomized patients from mechanical ventilation. However, despite its perceived importance, there is no universally accepted protocol for this vital transition. Presence of an intact sensorium coordinated swallowing and protective coughing are often the minimum requirements for a successful decannulation. Objective criteria for each of these may help better the clinical judgement of decannulation. In this systematic review on decannulation, we focus attention to this important aspect of tracheostomy care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40560-017-0234-z) contains supplementary material, which is available to authorized users.
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spelling pubmed-54776792017-06-23 The practice of tracheostomy decannulation—a systematic review Singh, Ratender Kumar Saran, Sai Baronia, Arvind K. J Intensive Care Review Decannulation is an essential step towards liberating tracheostomized patients from mechanical ventilation. However, despite its perceived importance, there is no universally accepted protocol for this vital transition. Presence of an intact sensorium coordinated swallowing and protective coughing are often the minimum requirements for a successful decannulation. Objective criteria for each of these may help better the clinical judgement of decannulation. In this systematic review on decannulation, we focus attention to this important aspect of tracheostomy care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40560-017-0234-z) contains supplementary material, which is available to authorized users. BioMed Central 2017-06-20 /pmc/articles/PMC5477679/ /pubmed/28649385 http://dx.doi.org/10.1186/s40560-017-0234-z Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Singh, Ratender Kumar
Saran, Sai
Baronia, Arvind K.
The practice of tracheostomy decannulation—a systematic review
title The practice of tracheostomy decannulation—a systematic review
title_full The practice of tracheostomy decannulation—a systematic review
title_fullStr The practice of tracheostomy decannulation—a systematic review
title_full_unstemmed The practice of tracheostomy decannulation—a systematic review
title_short The practice of tracheostomy decannulation—a systematic review
title_sort practice of tracheostomy decannulation—a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5477679/
https://www.ncbi.nlm.nih.gov/pubmed/28649385
http://dx.doi.org/10.1186/s40560-017-0234-z
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