Tuesday 6 September 2011

Tracheostomy versus endotracheal intubation




Endotracheal intubation versus Tracheostomy a comparison



Tracheostomy
Endotracheal intubation
Reduced need for sedation
Patient needs to be sedated
Not so easy
Easier & Quicker
Virtually no damage to glottis
Danger of damage to glottis
Reduction of dead space
Dead space reduction not appreciable
Tolerated well for long periods
Patients dont tolerate ET tubes for long periods
Weaning easy
Weaning not so easy after prolonged intubation
Requires skill
Skill can be easily learnt by practice
Bleeding & wound infections common
Virtually no bleeding
Humidification of inspired air a must
Humidification of inspired air is not a must
Scar formation +
No scar formation
Low risk of improper placement of tube
Risk of improper tube placement is rather high

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