Which factor indicates that tracheostomy placement would be preferable to endotracheal intubation?The patient is unable to clear secretions.The patient is at high risk for aspiration.A long-term airway is probably necessary.An upper airway obstruction is impairing the patient’s ventilation.
Long term airway is necessaryA tracheostomy is indicated when the need for an artificial airway is expected to be long term. Aspiration risk, an inability to clear secretions, and upper airway obstruction are indications for an artificial airway, but these are not specific indications for tracheostomy.
Tracheostomy placement would be preferable to endotracheal intubation in situations where a long-term airway is probably necessary. Endotracheal intubation is generally used for short-term airway management in emergency situations, whereas tracheostomy is typically used for long-term airway management. When the patient requires a prolonged period of mechanical ventilation, a tracheostomy is the preferred method of airway management due to several factors such as reduced sedation requirements, lower incidence of nosocomial pneumonia, improved communication, and lower airway resistance. In the given options, a long-term airway is probably necessary, so tracheostomy placement would be the preferred option.
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