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The future of percutaneous tracheostomy: Is it time to embrace intensivist-led bedside practice?

Research output: Contribution to journalArticlepeer-review

Abstract

The evolution of percutaneous dilatational tracheostomy (PDT) reflects the growing procedural autonomy of intensivists and the shift toward resource-conscious, patient-centered critical care. Bedside PDT performed or led by trained intensivists or dedicated tracheostomy teams has been shown to be safe, cost-effective, and carries an important ethical advantage by avoiding transport-related risks and reducing preventable harm compared with surgical tracheostomy in the operating room. It avoids transport-related risks, enhances care continuity, and optimizes ICU workflow—benefits that proved vital during the COVID-19 pandemic. Broader adoption of intensivist-led bedside PDT should be viewed not merely as a clinical option, but as a professional and institutional imperative.

Original languageEnglish (US)
Article number100580
JournalPerioperative Care and Operating Room Management
Volume41
DOIs
StatePublished - Dec 2025

All Science Journal Classification (ASJC) codes

  • Surgery
  • Critical Care and Intensive Care Medicine
  • Medical–Surgical
  • Anesthesiology and Pain Medicine

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