What are the indications for tracheostomy in the respiratory management of Duchenne muscular dystrophy (DMD)?

Updated: Aug 17, 2020
  • Author: Twee T Do, MD; Chief Editor: Jeffrey D Thomson, MD  more...
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Answer

Indications for tracheostomy include the following:

  • Patient and clinician preference
  • Patient cannot successfully use non-invasive ventilation
  • Inability of the local medical infrastructure to support non-invasive ventilation
  • Three failures to achieve extubation during critical illness despite optimum use of non-invasive ventilation and mechanically assisted cough
  • The failure of noninvasive methods of cough assistance to prevent aspiration of secretions into the lung and drops in oxygen saturation below 95% or the patient's baseline, necessitating frequent direct tracheal suctioning via tracheostomy

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