Time to perform tracheostomy

Tracheostomy should only be considered in patients who have shown a good evolution

Patients with ventilatory instability or need for high FiO₂ are not candidates for tracheostomy

Patients who demonstrate poor prognosis are not candidates for tracheostomy

Patients who require a prone position for ventilation are not candidates for tracheostomy

Extubation attempts should be conservative, given the team’s exposure and risk of contamination in new intubation

Tracheostomy should be considered after at least three attempts at weaning from mechanical ventilation, with the patient still intubated in an unsuccessful T tube ventilation in a period of 7 consecutive days

In cases of extubation failure requiring re-intubation, the reasons for the failure should be discussed and the tracheostomy considered

The ideal time for tracheostomy indication is between the 14^th and 21^st days of intubation

Obtaining the consent form for the procedure, from the in charge family member, remains mandatory

It is desirable that candidates for tracheostomy have a new PCR negative for Covid-19