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Original Articles: Cardiovascular

Invited commentary

Section of Thoracic Surgery, University Medical Center at Princeton, Suite F, 253 Witherspoon St, Princeton, NJ 08540

(Email: ldberriz@ctsx.net).

The first 20% of the full text of this article appears below.

The proposition that a tracheostomy after a sternotomy increases the probability of deep sternal wound infection (DSWI) has intuitive appeal, but it is not uniformly supported by clinical data [1, 2]. Many surgeons follow a conservative approach and avoid doing a tracheostomy after a sternotomy hoping to decrease the probability of DSWI. Rahmanian and associates [3] challenge this approach by carrying a multivariate analysis of the determinants of DSWI and proposing that respiratory failure (RF), not tracheostomy, is the main . . . [Full Text of this Article]

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