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  • Title: Pro/con clinical debate: tracheostomy is ideal for withdrawal of mechanical ventilation in severe neurological impairment.
    Author: Mascia L, Corno E, Terragni PP, Stather D, Ferguson ND.
    Journal: Crit Care; 2004 Oct; 8(5):327-30. PubMed ID: 15469593.
    Abstract:
    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.
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