Protocol based evaluation for feasibility of extubation compared to clinical scoring systems after major oral cancer surgery safely reduces the need for tracheostomy: a retrospective cohort study.
Axel SchmutzRolf DieterichJohannes KalbhennPit VossTorsten LoopSebastian HeinrichPublished in: BMC anesthesiology (2018)
Our data demonstrate that common clinical scoring systems fail to prevent tracheostomy in patients after MOCS. Application of scoring systems may lead to a higher number of unnecessary tracheostomies. Delayed routine extubation in the ICU after MOCS seems an appropriate and safe approach to avoid tracheostomy and the related morbidity.
Keyphrases
- mechanical ventilation
- intensive care unit
- acute respiratory distress syndrome
- end stage renal disease
- cardiac surgery
- chronic kidney disease
- respiratory failure
- ejection fraction
- newly diagnosed
- minimally invasive
- peritoneal dialysis
- randomized controlled trial
- prognostic factors
- electronic health record
- coronary artery bypass
- extracorporeal membrane oxygenation
- patient reported outcomes
- big data
- atrial fibrillation
- percutaneous coronary intervention
- drug induced