Episode 7-Tracheostomies in the Critically Ill: Before, During, and After the Procedure

In this episode we will review tracheostomies in the critically ill. We will describe the patient selection, procedure, possible complications, and follow up care. Host: Matthew Stutz, MD, MScBMI, Cook County Health, Assistant Professor Rush University, Chicago, Illinois Guest: Elliot Backer, MD, Assistant Professor of Medicine, Geisel School of Medicine, Dartmouth00:00:00 — Podcast Introduction & Disclosures00:00:21 — Topic Overview & Guest Introduction (Tracheostomy in Critical Illness)00:01:00 — Guest Background & Clinical Experience00:01:51 — Case Presentation & Indications for Tracheostomy00:06:42 — Timing, Evidence, and Techniques of Tracheostomy00:19:59 — Patient Selection & Risk Stratification for Percutaneous Tracheostomy00:20:37 — Imaging & Ultrasound to Reduce Bleeding Risk00:22:05 — Early Post-Tracheostomy Complications: Bleeding & Dislodgement00:26:20 — Tracheo-Innominate Fistula: Recognition & Emergency Management00:35:20 — Post-ICU Outcomes, Prognosis, and Multidisciplinary Tracheostomy Care