Survivorship in ICU patients undergoing tracheostomy for respiratory failure: from triggers to interprofessional team-based care.
Survivorship in ICU patients undergoing tracheostomy for respiratory failure: from triggers to interprofessional team-based care.
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ICU患者进行气管造口术进行呼吸衰竭的生存：从触发器到基于专业团队的护理。
DOI：
10.1136/tsaco-2023-001335
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发表时间：
2024
影响因子：
2
通讯作者：
中科院分区：
文献类型：
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作者：
在他们的回顾性分析中，Colbert等人1提出气管造口术插入作为重新考虑呼吸衰竭危重患者护理目标的触发因素。围绕气管切开术的短期结果和决策过程的研究强调了这一人群的显著死亡率，以及出院到护理机构而不是家中的可能性很高。这些数据与Pandian等人的研究一致，提醒人们危重患者的预后不确定，并强调需要早期讨论护理目标;然而，管理危重患者人群是多方面的。患者死亡率和出院状态只是决定气管切开术和后续护理的几个因素中的两个。由于目标和临床过程是流动的，在整个护理过程中需要持续的患者或家庭参与。
In their retrospective analysis, Colbert et al1 propose tracheostomy insertion as a trigger for reconsidering care goals in critically ill patients with respiratory failure. The study of short-term outcomes and decision-making processes surrounding tracheostomies highlights the significant mortality rate in this population and the high likelihood of discharge to care facilities, rather than home. The data, consistent with Pandian et al’s2 study, serve as a reminder of the uncertain prognosis of critically ill patients and emphasize the need for early discussions about goals of care; however, managing critically ill patient populations is multifaceted. Patient mortality and discharge status are just two of several factors that inform decisions around tracheostomy and subsequent care. Because goals and clinical course are fluid, ongoing patient or family engagement is needed throughout care.