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.