Safety of a no-fast protocol for tracheotomy in critical care

Safety of a no-fast protocol for tracheotomy in critical care

Can J Surg 2014;58(1):69-70 | PDF

Trevor Hartl, MD; Donald Anderson, MD; Jasna Levi, MD, MSc

Summary

With modern anesthesia, aspiration is an exceedingly rare complication, and we have learned that a prolonged fast can result in serious adverse effects in critically ill patients. We discuss the no-fast protocol implemented at Vancouver General Hospital in 2007 for intubated, tube-fed adult patients who underwent elective open tracheotomy.


Accepted for publication Feb. 24, 2014

Early-released Dec. 1, 2014

Affiliations: All authors are from the Department of Surgery, University of British Columbia, Vancouver, BC

Competing interests: None declared.

Contributors: T. Hartl wrote the article. All authors contributed substantially to the conception and design of the manuscript and revised and approved the final version submitted for publication.

DOI: 10.1503/cjs.027213

Correspondence to: T. Hartl, 103 — 34143 Marshall Rd., Abbotsford, BC, V2S 1L8; trevor.hartl@gmail.com