Prolonged endotracheal intubation vs. tracheostomy

Abstract

A trend has developed in recent years to employ longer periods of endotracheal intubation before performing tracheostomy. This review summarizes the advantages, disadvantages, pathology, and complications associated with both means of airway control. Although endotracheal intubation for up to 3 wk has been tolerated without sequelae, the optimal time to perform a tracheostomy remains controversial.