TRACHEOSTOMY VS INTUBATION

Following are the benefits of tracheostomy over endotracheal intubation-

1. It makes the patient more comfortable and less irratable.
2. It reduces need for sedation.
3. It improves ability to maintain oral and bronchial hygiene. It helps in tracheo-bronchial toilet.
4. It reduces risk of glottic trauma. There can be injury to vocal cords and also intubation granuloma formation with intubation.
5. Tracheostomy reduces dead space and reduces work of breathing.
6. It can be kept for prolonged period of time.
7. It augments process of weaning from ventilatory support.