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Timing of tracheostomy in adult patients: Potential ramifications are alarming

BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7513.404 (Published 11 August 2005) Cite this as: BMJ 2005;331:404
  1. Carl Philpott, specialist registrar in otolaryngology (carl.philpott@btopenworld.com),
  2. Alex Bennett, specialist registrar in otolaryngology,
  3. Peter Tassone, specialist registrar in otolaryngology
  1. Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich NR1 3SR
  2. Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich NR1 3SR

    EDITOR—In their systematic review and meta-analysis Griffiths et al conclude that tracheostomies should be performed earlier in critically ill patients.1 As ear, nose, and throat surgeons we find the potential ramifications quite alarming, primarily as undertaking this major operation is not without potential morbidity in patients who are already systemically unwell.2 3

    These patients are often …

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