Tracheostomy During Extracorporeal Membrane Oxygenation in Adult ICU Patients: A Systematic Review

Giuseppe Neri, Giuseppe Mazza, Jessica Ielapi, Helenia Mastrangelo, Federico Longhini, Vincenzo Bosco, Alessandro Russo, Francesca Serapide, Corrado Pelaia, Andrea Bruni, Eugenio Garofalo · 2026

Read Tracheostomy During Extracorporeal Membrane Oxygenation in Adult ICU Patients: A Systematic Review by Giuseppe Neri, Giuseppe Mazza, Jessica Ielapi, Helenia Mastrangelo, Federico Longhini, Vincenzo Bosco, Alessandro Russo, Francesca Serapide, Corrado Pelaia, Andrea Bruni, Eugenio Garofalo (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13164434.txt.

Description

Giuseppe Neri and ten co-authors review tracheostomy during life-support lung bypass in adults in a 2026 paper. The bypass, called ECMO, takes over lung work in the sickest patients. A tracheostomy opens the windpipe to ease breathing support. Its use during ECMO is debated due to bleeding risk.

The team pooled 13 studies with 1,918 patients in total. The step was feasible and caused no direct deaths in the studies. Bleeding was the main harm and rates varied widely. Bleeding ran higher when the step took place during active bypass. Early tracheostomy linked to shorter bypass and breathing support in some groups. The authors call for shared rules on timing and technique.

Catalog record

CREATORGiuseppe Neri, Giuseppe Mazza, Jessica Ielapi, Helenia Mastrangelo, Federico Longhini, Vincenzo Bosco, Alessandro Russo, Francesca Serapide, Corrado Pelaia, Andrea Bruni, Eugenio Garofalo
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE41 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13164434

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