Tracheostomy in Weaning Failure of Prolonged Mechanical Ventilation: A Case Study on Favorable Outcomes

I Putu Mahendra Yogi Semara, Gede Eka Ari Wirawan, Happy Rosyalynda, Agus Adi Yastawa

Abstract: Weaning failure is a common issue in prolonged intubation, often leading to adverse effects and higher mortality rates. This case study aims to explore the effectiveness of tracheostomy in addressing weaning failure. We report a case of a 74yearold male with respiratory failure type 2 due to acute exacerbation of COPD and pneumoniae, complicated by respiratory acidosis. The patient underwent a tracheotomy due to weaning failure after prolonged use of a mechanical ventilator. The outcome was favorable, with the patient in a stable condition in a nonintensive room posttracheotomy. This case study contributes to the ongoing discussion on the role of tracheostomy in managing weaning failure in prolonged mechanical ventilation.

Keywords: weaning failure, mechanical ventilation, tracheostomy