Tracheostomy: more data and training vital

A recent study has explored factors surrounding the insertion and management of tracheostomies in both the critical care unit and the ward environment.

The aim was to identify difficulties in the present care pathway for patients with tracheostomy and to offer recommendations for improving the quality of care for these patients.

The recently published report On the right trach? was put together by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD), and commissioned by HQIP, as part of the National Clinical Audit and Patient Outcomes Programme.

Historically, tracheostomy has been used to remedy upper airway obstruction, to avoid the laryngeal complications of prolonged tracheal intubation and the continued need for the protection and maintenance of the airway in patients with severe neurological injury.

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