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Everyone wants to do early trach, and while that approach has decent evidence, I still approach this on a case to case basis, and don’t trach until a proper extubation trial. The evidence supports reduction in ICU LOS and ventilator free days but no reduction in VAP or mortality. So I don’t rush to trach. What’s your approach? #icu #icunurse #respiratorytherapist #resident #medicaleducation
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Everyone wants to do early trach, and while that approach has decent evidence, I still approach this on a case to case basis, and don’t trach until a proper extubation trial. The evidence supports reduction in ICU LOS and ventilator free days but no reduction in VAP or mortality. So I don’t rush to trach. What’s your approach? #icu #icunurse #respiratorytherapist #resident #medicaleducation
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