Introduction
Prolonged intubation has been associated with increased mortality and morbidity of patients in critical condition. There is debate over whether early tracheostomy within 7 days, should be or not performed during the stay in the intensive care unit and its relationship with improvement in mortality and morbidity at discharge and 28 days. Recently, a large controlled clinical trial to determine that there is no difference between early or late tracheostomy. However a subsequent meta-analysis determined that if there is improvement in the realization of early tracheostomy.