No benefit to early trach

This large multicenter study of intubated patients randomized them to early (within 4 days) versus late trach (>10 days); 92% and 45% ending up getting a tracy, respectively. There were no differences between the groups in 30 day mortality, 2 year mortality, ICU LOS, or trach-related complications (abstract).

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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