5. Conclusion
This study demonstrates a relationship between the timing of
tracheostomy after cardiac surgery and mid and late-term mortality:
early postoperative tracheostomy within 4-10 days of mechanical
ventilation associated with better long-term survival. Short-term
mortality does not seem to be affected by the timing of tracheostomy. On
the basis of our findings, we believe that early, within 4-10 days
tracheostomy should be considered for post-cardiac surgical patients who
require prolonged mechanical ventilation. In conclusion authors want to
rephrase the rule from Marino’s ICU Book28: ”The
indication for intubation and mechanical ventilation is thinking of it”,
e.g. the indication for tracheostomy is thinking of it. If you do a
tracheostomy - is sooner rather than later.