Early Tracheostomy in Trauma and Surgically Ill Patients: Have We Made Any Progress in Identifying the Right Patients?

Early Tracheostomy in Trauma and Surgically Ill Patients: Have We Made Any Progress in Identifying the Right Patients?

Kyle J. Alexander, MD MS¹

Edgar B. Rodas MD²

General Surgery Residency Program, Virginia Commonwealth University, Richmond, VA, [email protected]
Division of Acute Care Surgical Services, Virginia Commonwealth University Health, Department of Surgery, Richmond, VA, [email protected]

Corresponding author:

Edgar Rodas, MD, Associate Professor, Division of Acute Care Surgical Services, Department of Surgery, Virginia Commonwealth University School of Medicine

1201 E. Clay St. Richmond, VA 23298

Email: [email protected]

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Abstract

Early tracheostomy may improve pulmonary outcomes and reduce ICU and hospital burden in critically injured patients, but survival benefits remain uncertain. This review outlines current evidence, subgroup findings, and key priorities for future research and clinical decision-making.

Key words: Early tracheostomy; Trauma; Burn injury; Mechanical ventilation; Traumatic brain injury; Spinal cord injury

Published online first*

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HOW TO CITE?

Alexander KJ, Rodas E. Early Tracheostomy in Trauma and Surgically Ill Patients: Have We Made Any Progress in Identifying the Right Patients?. Kos J Surg. 2026 Jan. 10:1. https://kosovajournalofsurgery.net/early-tracheostomy-in-trauma-and-surgically-ill-patients-have-we-made-any-progress-in-identifying-the-right-patients//