Abstract
The prospective benefits and drawbacks of surgical and percutaneous tracheotomy, indications for surgery are reviewed. Comprehensive review of literature was performed using medical electronic databases such as MEDLINE, and EMBASE, articles concerned with Indications and surgical technique tracheostomy published up to November 2018 were recruited. Tracheotomy procedure is a commonly performed treatment. Management of tracheotomy is necessary to avoid difficulties. A lot of patients going through tracheostomy are seriously sick and even small complications of the intervention can result in serious consequences in their already unpredictable wellness problem. There is still discuss on optimum timing and strategy of tracheotomy. Studies comparing early versus late tracheostomy recommend morbidity benefits that include less nosocomial pneumonia, shorter mechanical ventilation and shorter stay in the ICU. In critically ill grown-up patients calling for long term mechanical ventilation, tracheotomy performed at an onset (within the very first week) may reduce the duration of synthetic ventilation and length of remain in intensive care. Percutaneous dilatational tracheotomy (PDT) seems a minimum of as safe as surgical tracheotomy (ST) as measured in terms of peri-procedural difficulties.