Mascia Luciana, Corno Eleomore, Terragni Pier Paok, Stather David, Ferguson Niall D
Crit Care. 2004 Oct;8(5):327-30. doi: 10.1186/cc2864. Epub 2004 May 13.
Most clinical trials on the topic of extubation have involved patients outside the neurological intensive care unit. As a result, in this area clinicians are left with little evidence on which to base their decision making. Although tracheostomies are increasingly common procedures, they are not without complications and costs, and hence a decision to perform them should not be taken lightly. In this issue of Critical Care two groups debate the merits of tracheostomy before extubation in a patient with neurological impairment. What becomes very clear is the need for more high quality data for this common clinical problem.
大多数关于拔管主题的临床试验涉及神经重症监护病房以外的患者。因此，在这一领域，临床医生几乎没有证据来支持他们的决策。尽管气管切开术越来越常见，但并非没有并发症和成本，因此决定实施该手术不应掉以轻心。在本期《重症监护》中，两组人员就神经功能受损患者拔管前气管切开术的优点展开了辩论。非常明显的是，对于这个常见的临床问题，需要更多高质量的数据。
