This is the LITFL CCC master page for tracheostomy — follow the links for further discussion of the following:
Critical Care Compendium CCC
The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
The general principles are the same as for extubation of ICU patients. However, the criteria for extubation in the ED are generally more stringent as most ED staff are less experienced and less familiar with the process
Normal swallowing requires: timing and coordination of many muscles and several cranial nerves which are under voluntary and involuntary nervous control.
Difficulty weaning is an important ICU challenge. 20% to 30% of patients are difficult to wean from invasive mechanical ventilation
Non-invasive ventilation can be used as adjunct for weaning patients from mechanical ventilation