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Table 1 Advantages and disadvantages of performing a tracheostomy in the intensive care unit or operating room

From: Tracheostomy for COVID-19: evolving best practice

Intensive care unit

Operating room

Advantages

Disadvantages

Advantages

Disadvantages

No transfer

Positioning can be

Support available

Requires patient transfer

required

difficult

Controlled (aerosol)

(exposure risks to patient,

Timely (not

Less equipment

environment

staff and others)

dependent on

available for

Typically performed

Requires a surgeon to be

operating rooms)

complications

by surgeons (may save

available

Convenient for

Fewer resources in

ICU resources)

Takes an operating slot

ICU team

the event of a complication

Good lighting

 
 

Suboptimal lighting

  
 

Potential for distractions

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